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Individual

DAVID YOUNGJIN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3238
(201) 894-0585
Mailing address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3238
(201) 894-0585

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA06733300
FL
207L00000X
Anesthesiology Physician
Primary
25MA06733300
NJ
207L00000X
Anesthesiology Physician
MD064163L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017570890007
PA
Enumeration date
10/12/2005
Last updated
11/08/2019
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