Individual
DR. KWANG-JOON NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 FORT HILL AVE, CANANDAIGUA, NY 14424-1159
(585) 393-7176
(585) 393-8379
Mailing address
8 SADDLE RIDGE TRL, FAIRPORT, NY 14450-9584
(585) 421-9611
(585) 393-8379
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
123184
NY
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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