Individual
JEONG EUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5668
(973) 322-5437
(973) 322-8833
Mailing address
94 OLD SHORT HILLS RD STE 1, LIVINGSTON, NJ 07039-5668
(973) 322-5437
(973) 322-8833
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA10655700
NJ
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA10655700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0716375
—
NJ
Enumeration date
03/30/2013
Last updated
04/30/2024
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