Individual
DR. CHARLES C.S. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 LEWIS AVE, SUITE 212, MERIDEN, CT 06451-2121
(203) 237-8855
(203) 237-8441
Mailing address
455 LEWIS AVE, SUITE 212, MERIDEN, CT 06451-2121
(203) 237-8855
(203) 237-8441
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
015940
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
015940
CT
Other
Enumeration date
04/14/2007
Last updated
05/18/2009
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