Individual
DR. SUNG M. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-6226
(215) 923-1562
Mailing address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
MD034173E
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD034173E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001147366
—
PA
05
—
6377904
—
NJ
Enumeration date
07/14/2006
Last updated
08/19/2014
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