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Individual

MITCHELL KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
145 WYCKOFF RD STE 301, EATONTOWN, NJ 07724-1887
(848) 208-5250
(732) 935-1590
Mailing address
145 WYCKOFF RD STE 301, EATONTOWN, NJ 07724-1887
(848) 208-5250
(732) 935-1590

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA11030700
NJ
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MA11030700
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2017
Last updated
03/03/2022
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