Individual
MINA JUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140 PARK AVE, FLORHAM PARK, NJ 07932-1049
(973) 404-9700
(908) 673-7336
Mailing address
622 W 168TH ST, PH5-133, NEW YORK, NY 10032-3720
(212) 305-3226
(212) 305-3204
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA10050300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2013
Last updated
07/21/2022
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