Individual
KIM NGUYEN TIBALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5065
Mailing address
94 OLD SHORT HILLS RD, EAST WING SUITE 305, LIVINGSTON, NJ 07039-5672
(973) 322-5065
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA08456300
NJ
207RN0300X
Nephrology Physician
4301083840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175625
—
NJ
Enumeration date
12/06/2006
Last updated
03/19/2013
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