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Organization

EDISON KIDNEY CENTER AT WOODBRIDGE LIMITED LIABILITY COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STANLEY S. KIM M.D. (PRESIDENT)
(732) 634-6188
Entity
Organization

Contact information

Practice address
423 AMBOY AVE, WOODBRIDGE, NJ 07095-2909
(732) 634-6188
(732) 634-7991
Mailing address
423 AMBOY AVE, WOODBRIDGE, NJ 07095-2909
(732) 634-6188
(732) 634-7991

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06407800
NJ

Other

Enumeration date
10/04/2006
Last updated
06/19/2008
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