Individual
MRS. EUN JUNG KWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
21 LOCKHERN DR, LIVINGSTON, NJ 07039-6224
(646) 229-8344
Mailing address
21 LOCKHERN DR, LIVINGSTON, NJ 07039-6224
(646) 229-8344
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303368
NY
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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