# JIN P KIM MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538161377
- **Authorized official:** LINDA S BOOTH (OFFICE MANAGER)
- **Authorized official phone:** (856) 935-2577

## Contact information

- **Practice address:** 330 WOODSTOWN RD, MEDICAL ARTS BLDG 2, SALEM, NJ 08079
- **Practice address phone:** (856) 935-2577
- **Practice address fax:** (856) 935-0726
- **Mailing address:** 330 WOODSTOWN RD, MEDICAL ARTS BLDG 2, SALEM, NJ 08079
- **Mailing address phone:** (856) 935-2577
- **Mailing address fax:** (856) 935-0726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 25MA02960300 | NJ | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 25MA02960300 | NJ | — |

## Other

- **Enumeration date:** 08/11/2005
- **Last updated:** 10/10/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3039609 | — | NJ |
| 01 | — | 4090057 | AETNA/US HEALTHCARE | NJ |