Kwon, Jeontaik John

Kwon, Jeontaik John is an individual health care provider with primary practice located at 241 North Rd , Poughkeepsie NY 12601-1154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kwon, Jeontaik John can be contacted via phone (845) 483-5934.

Contact Information

Primary practice address
241 North Rd Poughkeepsie NY 12601-1154
Fax: (845) 483-5783
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MT194818 Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD444812 Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 284362 New York

Profile Details

NPI number 1225265861
LBN Legal business name Kwon, Jeontaik John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated Nov 17th, 2021 - about 3 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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