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Individual
YOUNG-JU KWON
Active
Individual
YOUNG-JU KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
213207
NY
207L00000X
Anesthesiology Physician
Primary
213207
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02001590
—
NY
Enumeration date
06/14/2005
Last updated
09/16/2013
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