Provider Demographics
NPI:1467865261
Name:KWON, DENNIS HOON (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:HOON
Last Name:KWON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:206 BERGEN AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-3387
Mailing Address - Country:US
Mailing Address - Phone:631-534-7246
Mailing Address - Fax:551-580-7000
Practice Address - Street 1:206 BERGEN AVE STE 207
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-3387
Practice Address - Country:US
Practice Address - Phone:631-534-7246
Practice Address - Fax:551-580-7000
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA108580002085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology