Kwass, Walter

Kwass, Walter is an sole proprietor health care provider with primary practice located at 1500 Southgate Ave , Daly City CA 94015-2259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Kwass, Walter can be contacted via phone (650) 991-6780.

Contact Information

Primary practice address
1500 Southgate Ave Daly City CA 94015-2259
Phone: (650) 991-6780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 016674 Connecticut
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35851 Massachusetts
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 89436 California

Profile Details

NPI number 1972585008
LBN Legal business name Kwass, Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972585008 NPPES
Connecticut MEDICAID 001166743
Connecticut MEDICAID 2169801

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