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Individual

DR. JAE EAN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
10 MANOR RD, LIVINGSTON, NJ 07039-3823
(973) 994-9633

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
28RI022624
NJ
1835P1200X
Pharmacotherapy Pharmacist
28RI022624
NJ
1835X0200X
Oncology Pharmacist
28RI022624
NJ

Other

Enumeration date
08/03/2006
Last updated
06/16/2011
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