Individual
JAMES TAEKYOON KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 TREMONT ST, BOSTON, MA 02116-5603
(617) 636-4600
Mailing address
260 TREMONT ST, BOSTON, MA 02116-5603
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24788
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
02/13/2022
Last updated
10/21/2025
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