Organization
KWAK FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES JIHOON KWAK M.D. (PRESIDENT)
(856) 520-8718
Entity
Organization
Contact information
Practice address
2301 EVESHAM RD, SUITE 505, VOORHEES, NJ 08043-4506
(856) 520-8718
(856) 520-8719
Mailing address
139 CHANCELLOR DR, DEPTFORD, NJ 08096-5158
(856) 520-8718
(856) 520-8719
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA07662200
NJ
Other
Enumeration date
03/23/2011
Last updated
03/10/2017
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