Dr. Yong Min Kwon, M.D.
Internal Medicine, Gastroenterology in Glen Ridge, NJ. Individual provider (NPI-1).
NPI number1528186384
StatusActive
Last updated in NPPESAug 14, 2019
Details
- NPI
- 1528186384
- Entity type
- Individual (NPI-1)
- Name
- Dr. Yong Min Kwon
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2007
- Last updated
- Aug 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 25MA09117700 | NJ | Yes |
| 207R00000X | Internal Medicine | 4301085780 | MI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 4301085780 | MI |
Practice location
123 Highland AveGlen Ridge, NJ 07028-1527
Phone 973-429-8800 · Fax 973-748-7076
Mailing address
3621 S State St700 Kms Place
Ann Arbor, MI 48108
Phone 734-936-2047
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