Individual
DR. PHILLIP KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
177 FT WASHINGTN AVE # 7GS-313, NEW YORK, NY 10032-3733
(212) 305-3038
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 972-9033
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A158522
CA
Other
Enumeration date
04/07/2015
Last updated
09/03/2024
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