Organization
SBK MD GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY S KIM M.D. (MEMBER)
(201) 461-5900
Entity
Organization
Contact information
Practice address
2083 CENTER AVE, SUITE 3A, FORT LEE, NJ 07024-7400
(201) 461-5900
(201) 461-5904
Mailing address
2083 CENTER AVE, SUITE 3A, FORT LEE, NJ 07024-7400
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA64078
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7879601
—
NJ
Enumeration date
07/05/2012
Last updated
04/12/2013
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