Jake S Kwon D.P.M.

NPI 1629129887 - Podiatrist - 213ES0103X

NPI Details
NPI 1629129887
Gender Male
Enumeration Date 01/15/2007
Last Updated 10/31/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
14223 37TH AVE
CF-1
FLUSHING NY, 11354-6508, US
Phone (718) 939-9858
Fax (718) 939-9865
Business Location
14223 37TH AVE
CF-1
FLUSHING NY, 11354-6508, US
Phone (718) 939-9858
Fax (718) 939-9865
Toxanomy
Taxonomy Code 213ES0103X
License State New Jersey
License Number 25MD002511
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According to our database, Dr. Jake S Kwon D.P.M. NPI is 1629129887, taxonomy code is 213ES0103X and license number is 25MD002511, license state is located at New Jersey. Jake S Kwon D.P.M. physically located at 14223 37th Ave, Flushing NY, 11354-6508. NPI Number Jake S Kwon D.P.M. has the Individual type.

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1629129887 NPI number is provided on an as is basis without warranty of any kind. 1629129887 is maintained by the National Plan & Provider Enumeration System. The contents of Jake S Kwon D.P.M. are for informational purposes only.