Most Relevant Information
Provider Data
| NPI Number: | 1003312802 |
| Provider Name: | ANTHONY BRIAN KWAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 308847 |
Most Important Dates
| Enumeration Date: | 04/02/2018 |
| Last Updated: | 11/22/2022 |
Provider Practice Location
200 BELLE TERRE RD
PORT JEFFERSON
NY
117771928
Practice Location Phone/Fax
| Phone: | 6314746791 |
| Fax: |
Provider Mailing Location
200 BELLE TERRE RD
PORT JEFFERSON
NY
117771928
Provider Mailing Phone/Fax
| Phone: | 6314746791 |
| Fax: |