Organization
EDISON NEPHRORLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY KIM M.D. (OWNER)
(908) 769-1440
Entity
Organization
Contact information
Practice address
34-36 PROGRESS STREET, SUITE A7, EDISON, NJ 08820
(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
Enumeration date
10/16/2006
Last updated
08/22/2020
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