Aesook Kwon
Individual provider Active NPI Registered Nurse · Cambrige, MA
NPI 1740555366 · NPPES record last updated Apr 3, 2012
Key facts
- NPI
- 1740555366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 263248 (MA)
- Practice address
- 1493 Cambrige St,
Cambridge Hospital
Cambrige, MA 02140 - Phone
- (617) 665-1000
- NPI assigned
- Mar 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263248 | MA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 263248 | MA | Yes |
Addresses
Primary practice location
1493 Cambrige St,
Cambridge Hospital
Cambrige, MA 02140
Mailing address
1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000
Other providers in Cambrige, MA
All providers in Cambrige, MA · Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.