DR. ANDREW KWAK (NPI# 1477581569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477581569 |
Entity Type | Individual |
Full Name | DR. ANDREW KWAK |
Credential | MD |
Practice Address |
919 Conestoga Rd Building Two, Suite 305 Bryn Mawr PA 19010-1352 |
Practice Telephone | 6105250606 |
Practice Fax Number | 6105255912 |
Mailing Telephone | 6105250606 |
Mailing Fax Number | 6105255912 |
Enumeration Date | 2006-06-29 |
Last Update Date | 2012-09-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD074005L | PA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124254198 | Andrew Kwak | Internal Medicine | Utmb, 301 University Blvd, Galveston, TX 77555-0001 | 2009-06-04 |
1740489418 | Andrew Kwak | Radiology | 300 2nd Ave, Monmouth Medical Center - Department of Radiology, Long Branch, NJ 07740-6303 | 2007-07-13 |
Street Address |
919 CONESTOGA RD BUILDING TWO, SUITE 305 |
City | BRYN MAWR |
State | PA |
Zip Code | 19010-1352 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912901802 | John K Mulholland | Dermatology | 919 Conestoga Rd, Bldg 2, Suite 106, Bryn Mawr, PA 19010-1352 | 2005-06-08 |
1407419799 | Sleep Better Dental Medicine of The Main Line | Durable Medical Equipment & Medical Supplies | 919 Conestoga Rd, Bryn Mawr, PA 19010-1352 | 2019-04-22 |
1639554090 | Denise Wilks | Midwife | 919 Conestoga Rd, Bldg 1 Ste 104, Bryn Mawr, PA 19010 | 2015-07-28 |
1255718995 | Womens Health Care Group of Pa | Midwife | 919 Conestoga Rd, Bldg 1 Ste 104, Bryn Mawr, PA 19010-1352 | 2015-05-01 |
1184019176 | Cirillo Center for Plastic Surgery | Plastic Surgery | 919 Conestoga Rd, Bldg 2, Suite 105, Bryn Mawr, PA 19010-1352 | 2015-04-06 |
1598186272 | Lisa White | Physician Assistant | 919 Conestoga Rd, Bryn Mawr, PA 19010-1352 | 2013-12-23 |
1922433309 | Amy Shoumer Dmd, PC | Dentist | 919 Conestoga Rd, Suite 100, Bryn Mawr, PA 19010-1352 | 2013-09-04 |
1578801841 | Susan Kellogg Spadt | Nurse Practitioner | 919 Conestoga Rd, Building 1, Suite 300, Bryn Mawr, PA 19010-1352 | 2013-01-22 |
1124371174 | Amy Richelle Swett | Social Worker | 919 Conestoga Rd, Building 3, Suite 110, Bryn Mawr, PA 19010-1352 | 2012-10-15 |
1598017535 | Sandra Dickinson | Social Worker | 919 Conestoga Rd, Suite 3, Bryn Mawr, PA 19010-1352 | 2012-10-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
Find all providers in zip 19010 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245658517 | Ronald Andre Pitt | Radiology | 853 W Lancaster Ave, Floor 2, Bryn Mawr, PA 19010-3337 | 2014-04-02 |
1508174053 | Christine Dietrich | Radiology | 5013 Brittany Ln, Bryn Mawr, PA 19010-2079 | 2010-09-17 |
1457351314 | Bryn Mawr Imaging | Radiology | 986 E Railroad Ave, Bryn Mawr, PA 19010-3831 | 2005-07-21 |
1811993520 | Michael Clair | Radiology | 865 W. Lancaster Avenue, Bryn Mawr, PA 19010 | 2005-06-27 |
1902119654 | Eric Michael Vilbert | Radiology | 130 S Bryn Mawr Ave, Bryn Mawr Hospital - Dept of Radiology, Bryn Mawr, PA 19010-3121 | 2010-07-23 |
1558688598 | Michael Stuart Ferrell | Radiology | 130 S Bryn Mawr Ave, Department of Radiology, Bryn Mawr, PA 19010-3121 | 2010-04-30 |
1134330954 | Hema Shailaja Thaker | Radiology | 130 S Bryn Mawr Ave, Department of Radiology, Bryn Mawr, PA 19010-3121 | 2007-05-24 |
1093802522 | Jennifer Marek | Radiology | 130 S Bryn Mawr Ave, Bryn Mawr Hospital Radiology, Bryn Mawr, PA 19010-3121 | 2006-10-06 |
1467489062 | Stephen C Jaffe | Radiology | 865 W Lancaster Ave, Bryn Mawr, PA 19010-3336 | 2006-06-27 |
1912947961 | Robert E Domanski | Radiology | 865 W Lancaster Ave, Bryn Mawr, PA 19010-3336 | 2006-06-07 |
Find all providers in BRYN MAWR |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.