Individual
CHONG M. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
207433
NY
208800000X
Urology Physician
Primary
25MA09395500
NJ
208800000X
Urology Physician
MD426470
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA09395500
NJ STATE LICENSE
NJ
Enumeration date
07/13/2006
Last updated
05/18/2018
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