NPI: 1609205434 · MAYWOOD, NJ 07607 · Specialist · NPI assigned 11/02/2013
| Authorized Official | KWON, CHRISTOPHER (OWNER) |
| NPI Enumeration Date | 11/02/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $815.88 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00812 | 13 | 13 | $815.88 |