Individual
CHRISTOPHER C. KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34 PROGRESS ST # 36, SUITE A 7, EDISON, NJ 08820-1103
(732) 669-0077
(732) 669-0076
Mailing address
80 REVERE BLVD, EDISON, NJ 08820-1907
(732) 669-0077
(732) 669-0076
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07159600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8968209
—
NJ
Enumeration date
08/03/2006
Last updated
07/08/2007
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