Individual
DR. CHUNG EUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-4815
Mailing address
398 ORCHARD PL, HAWORTH, NJ 07641-1130
(201) 384-0201
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
200695
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02023509
—
NY
Enumeration date
11/17/2006
Last updated
07/08/2007
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