Individual
ISAAC KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3397
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD454677
PA
207R00000X
Internal Medicine Physician
MT201954
PA
208M00000X
Hospitalist Physician
Primary
MD454677
PA
Other
Enumeration date
06/27/2012
Last updated
05/04/2017
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