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Individual

MR. HAN SUNG KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2103 TENAKILL PARK E, CRESSKILL, NJ 07626-2023
(201) 674-8357
Mailing address
2103 TENAKILL PARK E, CRESSKILL, NJ 07626-2023
(201) 674-8357

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023126-1
NY
235Z00000X
Speech-Language Pathologist
41YS00740800
NJ

Other

Enumeration date
09/07/2013
Last updated
09/07/2013
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