Individual
ISAAC Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
800 HOWARD AVE FL 1, NEW HAVEN, CT 06519-1369
(203) 785-2815
Mailing address
789 HOWARD AVE # FMP316, NEW HAVEN, CT 06519-1304
(203) 785-7671
(203) 737-7618
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
25MA07917300
NJ
2086X0206X
Surgical Oncology Physician
Primary
69482
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072648
—
NJ
Enumeration date
11/01/2006
Last updated
09/28/2021
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