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Organization

OLEG KAIM, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OLEG KAIM M.D. (PRESIDENT)
(201) 567-4488
Entity
Organization

Contact information

Practice address
214 ENGLE ST, SUITE 11, ENGLEWOOD, NJ 07631-2418
(201) 567-4488
(201) 567-4771
Mailing address
214 ENGLE ST, SUITE 11, ENGLEWOOD, NJ 07631-2418
(201) 567-4488
(201) 567-4771

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06193500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6651208
NJ
Enumeration date
05/17/2007
Last updated
08/15/2012
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