Individual
JASON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILA - INFECTIOUS DISEASES, PHILADELPHIA, PA 19104-4319
(215) 590-2017
(215) 590-2025
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9234
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD419002
PA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD419002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047287
—
NJ
05
—
101118367
—
PA
Enumeration date
07/25/2006
Last updated
04/19/2013
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