Individual
DANIEL KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 PLAIN ST, BAYSIDE BUILDING SUITE 501, PROVIDENCE, RI 02905-3240
(401) 444-5495
(401) 444-2740
Mailing address
235 PLAIN ST, BAYSIDE BUILDING SUITE 501, PROVIDENCE, RI 02905-3240
(401) 444-5495
(401) 444-2740
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD14569
RI
2086S0122X
Plastic and Reconstructive Surgery Physician
125048116
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
8079
SD
Other
Enumeration date
08/19/2008
Last updated
05/19/2014
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