Kwon, Stephen

Kwon, Stephen is an individual health care provider with primary practice located at 703 Main St , Paterson NJ 07503-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kwon, Stephen can be contacted via phone (973) 754-2645.

Contact Information

Primary practice address
703 Main St Paterson NJ 07503-2621
Phone: (973) 754-2645
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA07891900 New Jersey

Profile Details

NPI number 1093702359
LBN Legal business name Kwon, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Feb 19th, 2010 - about 14 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 1093702359 NPPES
New Jersey MEDICAID 0070980

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