Individual
JUSTIN YUAN-PING KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-6900
(215) 214-3779
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-9724
(215) 707-8235
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
D73696
MD
2084N0400X
Neurology Physician
Primary
MD462406
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D73696
STATE LICENSE
MD
Enumeration date
08/30/2006
Last updated
04/06/2018
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