Individual
TASHIL KIM JU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 W MAIN ST, SUITE 16, WYCKOFF, NJ 07481-1439
(201) 847-9320
(201) 847-0059
Mailing address
70 GLEN RIDGE PKWY, GLEN RIDGE, NJ 07028-1802
(312) 498-7996
(201) 847-0059
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA089718
NJ
Other
Enumeration date
05/18/2009
Last updated
12/08/2015
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