Individual
STEVE S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 FLETCHER AVE, FORT LEE, NJ 07024-5005
(201) 461-6200
(201) 461-7204
Mailing address
2200 FLETCHER AVE, FORT LEE, NJ 07024-5005
(201) 461-6200
(201) 461-7204
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA07884800
NJ
207RI0011X
Interventional Cardiology Physician
Primary
25MA07884800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074799
—
NJ
01
—
699887
MEDICARE GROUP
NJ
Enumeration date
05/18/2006
Last updated
09/06/2017
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