Individual
DR. CHUL SOO KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 W 40TH ST, STE 406, BALTIMORE, MD 21211
(410) 235-2880
(410) 465-1436
Mailing address
2908 CHAINITA CT, ELLICOTT CITY, MD 21042-7625
(443) 413-6752
(410) 465-1436
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0018904
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790521100
—
MD
Enumeration date
09/26/2005
Last updated
06/09/2019
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