Individual
DR. JEFF SOONCHUEL KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
226 MILL HILL AVE, 3RD FLOOR, BRIDGEPORT, CT 06610-2826
(203) 384-3394
(203) 384-3829
Mailing address
PO BOX 415126, BOSTON, MA 02241-0001
(203) 384-3394
(203) 384-3829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36113651
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036116351
IL
207RP1001X
Pulmonary Disease Physician
Primary
036113651
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
047736
CT
Other
Enumeration date
03/07/2007
Last updated
06/23/2009
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