Individual
ROSA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 CHURCH ST S STE A250, NEW HAVEN, CT 06519-1703
(203) 785-2860
Mailing address
100 CHURCH ST S STE A250, NEW HAVEN, CT 06519-1703
(203) 785-2860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13817
GA
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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