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Individual
CHARLES KIM
Active
Individual
CHARLES KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
315346
NY
207RH0003X
Hematology & Oncology Physician
Primary
25MA11754600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
592275383
NY
Other
Enumeration date
04/04/2017
Last updated
08/14/2023
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