MEDICARE: DANIEL M KWA MD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	P-0008	NJ

General Provider Information

NPI Number	:	1063528347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL M KWA MD, PC

Provider Business Mailing Address
First Line	:	6717 ATLANTIC AVE
Second Line	:
City	:	VENTNOR CITY
State	:	NJ
Zip	:	08406-2621
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6717 ATLANTIC AVE
Second Line	:
City	:	VENTNOR CITY
State	:	NJ
Zip	:	08406-2621
Country	:	US
Telephone Number	:	609-653-3931
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DANIEL KWA
Credential	:
Telephone Number	:	609-653-3931

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	08/22/2020

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