Individual
CHARLES KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8890
(908) 673-7390
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
315346
NY
207RH0003X
Hematology & Oncology Physician
Primary
25MA11754600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
592275383
NY
Other
Enumeration date
04/04/2017
Last updated
08/14/2023
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