Individual
HYUNTAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-3000
(215) 662-7011
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 662-3000
(215) 662-7011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA11221300
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD470404
PA
Other
Enumeration date
03/25/2015
Last updated
06/21/2022
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