Organization
JIN P KIM MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA S BOOTH (OFFICE MANAGER)
(856) 935-2577
Entity
Organization
Contact information
Practice address
330 WOODSTOWN RD, MEDICAL ARTS BLDG 2, SALEM, NJ 08079
(856) 935-2577
(856) 935-0726
Mailing address
330 WOODSTOWN RD, MEDICAL ARTS BLDG 2, SALEM, NJ 08079
(856) 935-2577
(856) 935-0726
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
25MA02960300
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
25MA02960300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3039609
—
NJ
01
—
4090057
AETNA/US HEALTHCARE
NJ
Enumeration date
08/11/2005
Last updated
10/10/2007
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