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General NPI Number Information
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NPI Number | 1548693310
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Entity Type | Individual
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Provider Name | MINHO KWON M.D
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Gender | Male
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Dates
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Enumeration Date | 08/15/2013
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 6511 SPRING BROOK AVE
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City | RHINEBECK
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State | NY
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Zip | 12572-3709
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Country | US
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Telephone | 845-876-3001
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Fax |
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Provider Business Mailing Address
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Address Line | 4308 CREST LN
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City | FORT LEE
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State | NJ
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Zip | 07024-2231
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 309122
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA10323500
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License Number State | NJ
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