Healthcare Provider Details

I. General information

NPI: 1316910722
Provider Name (Legal Business Name): DAVID KUO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 06/11/2024
Certification Date: 03/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 MADISON AVE STE 403
MORRISTOWN NJ
07960-7358
US

IV. Provider business mailing address

163 MADISON AVE STE 403
MORRISTOWN NJ
07960-7358
US

V. Phone/Fax

Practice location:
  • Phone: 973-952-6800
  • Fax: 973-952-6803
Mailing address:
  • Phone: 973-952-6800
  • Fax: 973-952-6803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA06783000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: