Individual
DR. JOHN YOHAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 OLD MARLTON PIKE, SUITE 211, MEDFORD, NJ 08055-8772
(856) 576-5742
(856) 519-5457
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5187
(914) 333-5801
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
255713
NY
207K00000X
Allergy & Immunology Physician
Primary
25MA09095500
NJ
207R00000X
Internal Medicine Physician
255713
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3410623
CIGNA
NJ
01
—
3881423000
AMERIHEALTH
NJ
Enumeration date
10/22/2005
Last updated
02/20/2025
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