Individual
JUNG H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 CEDAR ST, LAUDER HALL RM 108, NEW HAVEN, CT 06510-3218
(203) 785-2788
Mailing address
300 GEORGE ST, 6TH FLOOR PO BOX 9805, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
022526
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
022526
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001225269
—
CT
Enumeration date
10/18/2005
Last updated
08/04/2008
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