Individual
BRADEN KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
543 W 122ND ST, NEW YORK, NY 10027-5175
(617) 543-1987
Mailing address
543 W 122ND ST, NEW YORK, NY 10027-5175
(617) 543-1987
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
339940
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3195457
—
MA
Enumeration date
09/12/2005
Last updated
10/02/2025
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