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Individual
KWEON STAMBAUGH
Active
Individual
KWEON STAMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
147259
NY
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
147259
NY
Other
Enumeration date
11/15/2005
Last updated
09/12/2017
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