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Individual

JOHN S. KUO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4 NESHAMINY INTERPLEX, SUITE 209, TREVOSE, PA 19053-6940
(215) 244-3070
(215) 638-9041
Mailing address
4 NESHAMINY INTERPLEX, SUITE 209, TREVOSE, PA 19053-6940
(215) 244-3070
(215) 638-9041

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07540900
NJ
2085R0202X
Diagnostic Radiology Physician
MA075409
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007153
NJ
01
P00286400
RAILROAD MEDICARE
NJ
Enumeration date
06/28/2006
Last updated
10/15/2009
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