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Organization
SOON JA KIM MD PA
Active
Organization
SOON JA KIM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOON JA KIM MD (PRESIDENT)
(410) 796-7730
Entity
Organization
Contact information
Practice address
5808 MAIN ST, ELKRIDGE, MD 21075-5105
(410) 796-7730
(410) 379-1537
Mailing address
5808 MAIN ST, ELKRIDGE, MD 21075-5105
(410) 796-7730
(410) 379-1537
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
03/18/2010
Last updated
04/21/2010
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