Organization
HOLMDEL MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHONG S KIM (PRESIDENT)
(732) 796-0182
Entity
Organization
Contact information
Practice address
100 COMMONS WAY, SUITE 701, HOLMDEL, NJ 07733-2934
(732) 796-0182
Mailing address
100 COMMONS WAY, SUITE 701, HOLMDEL, NJ 07733-2934
(732) 796-0182
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MA72196
NJ
Other
Enumeration date
06/20/2006
Last updated
08/22/2020
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