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Individual

DR. BOB KAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
117 E 57TH ST, 36 B, NEW YORK, NY 10022-2002
(212) 751-4651
(212) 751-4651
Mailing address
117 E 57TH ST, 36 B, NEW YORK, NY 10022-2002
(212) 751-4651
(212) 751-4651

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MA75669
NJ
207L00000X
Anesthesiology Physician
Primary
225713
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000469
NJ
Enumeration date
07/07/2005
Last updated
06/04/2015
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