Individual
SOPHIA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 ENGLE ST, ENGLEWOOD, NJ 07631-2507
(201) 567-2050
(201) 568-8936
Mailing address
180 ENGLE ST, ENGLEWOOD, NJ 07631-2507
(201) 567-2050
(201) 568-8396
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00728800
NJ
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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