Individual
JUN YOUNG KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-7831
Mailing address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
79654
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2021
Last updated
12/31/2024
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