Individual
DR. JINHEE KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1295 ROUTE 38 W, HAINESPORT, NJ 08036
(609) 261-7017
(609) 261-4180
Mailing address
210 ARK RD, MOUNT LAUREL, NJ 08054-3188
(856) 778-8860
(609) 261-4180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07836000
NJ
2085R0204X
Vascular & Interventional Radiology Physician
25MA07836000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068934
—
NJ
Enumeration date
06/23/2006
Last updated
02/02/2022
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