Organization
BASKING RIDGE PEDIATRIC HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY J KIM M.D. (OWNER)
(908) 766-4600
Entity
Organization
Contact information
Practice address
150 N FINLEY AVE, BASKING RIDGE, NJ 07920-1686
(908) 766-4660
(908) 204-9871
Mailing address
150 N FINLEY AVE, BASKING RIDGE, NJ 07920-1686
(908) 766-4660
(908) 204-9871
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA02405700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0467103
—
NJ
01
—
OK4548
HEA;THNET
NJ
01
—
TP050
OXFORD
NJ
Enumeration date
04/16/2008
Last updated
04/16/2008
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