Individual
CHONG HWAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E OLNEY AVE, SUITE 400, PHILADELPHIA, PA 19120-2421
(215) 456-7000
(215) 254-2599
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-8103
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD425893
PA
2084P0800X
Psychiatry Physician
Primary
MD425893
PA
Other
Enumeration date
05/23/2006
Last updated
10/02/2019
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