Individual
JULIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
44 STATE RT 23 STE 7, RIVERDALE, NJ 07457
(973) 248-1550
Mailing address
44 STATE RT 23 STE 7, RIVERDALE, NJ 07457-1603
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00633700
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00633700
NJ
Other
Enumeration date
08/30/2018
Last updated
10/02/2019
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