Individual
DR. STANLEY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34 PROGRESS ST # 36, SUITE A7, EDISON, NJ 08820-1103
(908) 769-1440
Mailing address
34-36 PROGRESS STREET, SUITE A7, EDISON, NJ 08820
(908) 769-1440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA64078
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7879601
—
NJ
Enumeration date
07/27/2006
Last updated
06/02/2008
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