Individual
DARYL K KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 EISENHOWER RD, COLUMBIA, NJ 07832-2716
(908) 362-5360
(973) 362-8396
Mailing address
532 LAFAYETTE RD, SUITE 300, SPARTA, NJ 07871-4411
(973) 940-0423
(973) 940-0399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06606900
NJ
208000000X
Pediatrics Physician
25MA06606900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8313601
—
NJ
Enumeration date
09/27/2005
Last updated
10/20/2011
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