Individual
CLAUDIA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 LAFAYETTE AVE, HAWTHORNE, NJ 07506-2506
(973) 841-5112
(973) 826-5064
Mailing address
330 LAFAYETTE AVE, HAWTHORNE, NJ 07506-2506
(973) 841-5112
(973) 826-5064
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08813800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264423
—
NJ
Enumeration date
10/02/2007
Last updated
03/28/2019
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