Organization
HELIOS INTERVENTIONAL PAIN SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN F KWON MD (PRESIDENT)
(267) 304-0226
Entity
Organization
Contact information
Practice address
11 EVES DR, SUITE 170, MARLTON, NJ 08053-3130
(856) 797-9600
(856) 797-9601
Mailing address
211 SOUTH ST, SUITE 345, PHILADELPHIA, PA 19147-2305
(215) 732-7600
(215) 732-8656
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102577000
IBC
NJ
Enumeration date
07/25/2006
Last updated
04/28/2010
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