Kwak, Andrew
Kwak, Andrew is an individual health care provider with primary practice located at 300 2Nd Ave Monmouth Medical Center - Department Of Radiology, Long Branch NJ 07740-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kwak, Andrew can be contacted via phone (732) 923-6806.Contact Information
Primary practice address
300 2Nd Ave Monmouth Medical Center - Department Of Radiology
Long Branch NJ 07740-6303
Phone: (732) 923-6806
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 49954 | Arizona |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA09159500 | New Jersey |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A115256 | California |
Profile Details
| NPI number | 1740489418 |
|---|---|
| LBN Legal business name | Kwak, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Feb 24th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740489418 | NPPES |
| New Jersey | Other | 390200000X | MONMOUTH |
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