Individual
DR. CHONG S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 COMMONS WAY, SUITE 701, HOLMDEL, NJ 07733-2934
(732) 796-0182
Mailing address
17 BRIDGEPOINTE DR, LAURENCE HARBOR, NJ 08879-2909
(732) 290-7861
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
MA72196
NJ
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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