Individual
WANCHU THOMAS KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1272 CLIFTON AVE, CLIFTON, NJ 07012
(973) 471-2916
(973) 470-9636
Mailing address
1272 CLIFTON AVE, CLIFTON, NJ 07012
(973) 471-2916
(973) 470-9636
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA02527900
NJ
208D00000X
General Practice Physician
Primary
25MA02527900
NJ
Other
Enumeration date
10/16/2006
Last updated
09/11/2025
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