DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEONTAIK JOHN KWON, M.D.

Active

DR. JEONTAIK JOHN KWON, M.D. is a Vascular Surgery healthcare provider located in SHREWSBURY, New Jersey. NPI 1225265861 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · SHREWSBURY, NJ

Registration Details

NPI Number
1225265861
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2009 (17.183631030337 yrs)
Last Updated
Feb 21, 2025
Licenses
MD444812 (PA)
284362 (NY)
25MA10016700 (NJ)

Practice Information

Address
655 SHREWSBURY AVE STE 210
SHREWSBURY, NJ, 077024151
Browse NJ providers · Browse ZIP 07702
Phone
7327474744
Fax
7327474751
Primary Specialty
Vascular Surgery
2086S0129X
Additional Specialty
Vascular Surgery
Additional Specialty
Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.