Individual
DR. EUNICE L KWAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
55 FRUIT ST YAW 7, HEMATOLOGY/ONCOLOGY, BOSTON, MA 02114-2621
(617) 726-6254
(617) 724-6919
Mailing address
PO BOX 9142, MASS. GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
205757
MA
207RX0202X
Medical Oncology Physician
Primary
205757
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009170
—
MA
01
—
205757
TUFTS HEALTH PLAN
MA
01
—
J26132
BCBS OF MA
MA
Enumeration date
11/14/2005
Last updated
09/11/2025
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