Most Relevant Information
Provider Data
| NPI Number: | 1003516501 |
| Provider Name: | MOONJU KWAK RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 581349 |
Most Important Dates
| Enumeration Date: | 03/06/2023 |
| Last Updated: | 03/06/2023 |
Provider Practice Location
2183D N CENTRAL RD
FORT LEE
NJ
070247604
Practice Location Phone/Fax
| Phone: | 2017550176 |
| Fax: |
Provider Mailing Location
2183D N CENTRAL RD
FORT LEE
NJ
070247604
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |