Organization
BEACON HILL PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNGJIN KIM MD (CHIEF MEDICAL OFFICER)
(646) 532-9375
Entity
Organization
Contact information
Practice address
7900 INTERNATIONAL DR STE 300-7067, BLOOMINGTON, MN 55425-1510
(646) 825-6973
Mailing address
7900 INTERNATIONAL DR STE 300-7067, BLOOMINGTON, MN 55425-1510
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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