# JOHN KIM MD MED & GERIATRICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** John Kim ,MD Internal Medicine & Geriatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891011854
- **Authorized official:** MRS. SOON KIM (OFFICE MANAGER)
- **Authorized official phone:** (201) 944-7300

## Contact information

- **Practice address:** 158 LINWOOD PLAZA \#324-325, FORT LEE, NJ 07024
- **Practice address phone:** (201) 944-7300
- **Practice address fax:** (201) 944-7311
- **Mailing address:** 158 LINWOOD PLAZA \#324-325, FORT LEE, NJ 07024
- **Mailing address phone:** (201) 944-7300
- **Mailing address fax:** (201) 944-7311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 25MA06862000 | NJ | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 04/15/2010
- **Last updated:** 03/28/2023