Individual
DR. MIAH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
80 SCENIC DR, SUITE 6, FREEHOLD, NJ 07728-5210
(732) 683-0010
(732) 409-6997
Mailing address
6 SOLOMON CT, JACKSON, NJ 08527-4855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB05981900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7025009
—
NJ
05
—
7461402
—
NJ
Enumeration date
02/22/2006
Last updated
12/19/2008
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