Individual
DR. CHANG NAM KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 WOODSTONE DR, CEDAR GROVE, NJ 07009-1940
(973) 773-9228
(973) 857-3123
Mailing address
22 WOODSTONE DR, CEDAR GROVE, NJ 07009-1940
(973) 773-9228
(973) 773-3029
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA03826200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A62478
UPIN
NJ
Enumeration date
09/07/2006
Last updated
03/20/2025
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