Individual
KWANG JOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2950 ELMWOOD AVE, KENMORE MERCY HOSPITAL, KENMORE, NY 14217-1304
(716) 853-1616
(716) 829-2348
Mailing address
100 HIGH ST, BUFFALO GENERAL HOSPITAL, BUFFALO, NY 14203-1126
(716) 853-1616
(716) 829-2348
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
131744
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00865210
—
NY
Enumeration date
04/20/2006
Last updated
11/29/2010
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