Individual
DR. TERRY YUN-HO KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15005 SHADY GROVE RD., STE 100, ROCKVILLE, MD 20850-6341
(301) 279-9696
(301) 251-5454
Mailing address
15005 SHADY GROVE RD., SUITE 100, ROCKVILLE, MD 20850-6341
(301) 279-9696
(301) 251-5454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TP-0003219
DE
207W00000X
Ophthalmology Physician
C1-0008039
DE
207W00000X
Ophthalmology Physician
Primary
D0068866
MD
Other
Enumeration date
05/17/2006
Last updated
07/08/2011
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