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Individual

TAE WON BENJAMIN KIM

Active
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Individual

TAE WON BENJAMIN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA09492900
NJ
207X00000X
Orthopaedic Surgery Physician
268575
NY
207X00000X
Orthopaedic Surgery Physician
MD442398
PA
207X00000X
Orthopaedic Surgery Physician
MT192453
PA

Other

Enumeration date
06/26/2008
Last updated
01/09/2018
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