Individual
DR. TAK W. KWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
139 CENTRE ST, SUITE 307, NEW YORK, NY 10013-4408
(212) 334-3507
(212) 334-4728
Mailing address
139 CENTRE ST, SUITE 307, NEW YORK, NY 10013-4408
(212) 334-3507
(212) 334-4728
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
168098
NY
207RC0000X
Cardiovascular Disease Physician
168098
NY
207RI0011X
Interventional Cardiology Physician
Primary
168098
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01611545
—
NY
01
—
WEJ461
MEDICARE GROUP ID #
NY
Enumeration date
03/28/2006
Last updated
11/20/2018
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