Individual
DR. EDWARD DJAN-KWANSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2228 BOLLER AVE, 2ND FLOOR, BRONX, NY 10475-5502
(347) 668-0076
Mailing address
2228 BOLLER AVE, 2ND FLOOR, BRONX, NY 10475-5502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
256765
NY
207Q00000X
Family Medicine Physician
Primary
256765
NY
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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