Individual
DR. SAM KWANG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
228 ROSEBERRY ST, SUITE # 3, PHILLIPSBURG, NJ 08865-1687
(908) 454-4545
(908) 454-3227
Mailing address
228 ROSEBERRY ST, SUITE # 3, PHILLIPSBURG, NJ 08865-1687
(908) 454-4545
(908) 454-3227
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA02776000
NJ
208000000X
Pediatrics Physician
MD019259Y
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392405
—
NJ
Enumeration date
06/20/2006
Last updated
07/08/2007
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