Provider Demographics
NPI:1871673244
Name:KWACK-YUHAN, CHRISTINA E (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:E
Last Name:KWACK-YUHAN
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:185 FREEMAN ST
Mailing Address - Street 2:APT.#951
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-3552
Mailing Address - Country:US
Mailing Address - Phone:617-879-0355
Mailing Address - Fax:
Practice Address - Street 1:WOBURN NEPHROLOGY ASSOCIATES, P.C.
Practice Address - Street 2:23 WARREN AVE SUITE 150
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801
Practice Address - Country:US
Practice Address - Phone:781-933-0710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA227037207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2137852Medicaid