Individual
TIMOTHY TAEHO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
83996
GA
208M00000X
Hospitalist Physician
Primary
83996
GA
Other
Enumeration date
09/15/2011
Last updated
06/28/2024
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