Kwon, Brian

Kwon, Brian is an individual health care provider with primary practice located at 840 Winter St , Waltham MA 02451-1433. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kwon, Brian can be contacted via phone (781) 890-2133.

Contact Information

Primary practice address
840 Winter St Waltham MA 02451-1433
Phone: (781) 890-2133
Fax: (781) 890-2177
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 216761 Massachusetts
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 216761 Massachusetts

Profile Details

NPI number 1306848890
LBN Legal business name Kwon, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Feb 28th, 2024 - about 9 months 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 1306848890 NPPES
Massachusetts MEDICAID 2075733

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