Organization
CHONG DUK KIM MEDICAL OFFICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHONG KIM MD (MD)
(215) 776-7388
Entity
Organization
Contact information
Practice address
7300 OLD YORK RD STE 203, ELKINS PARK, PA 19027-3062
(215) 635-0000
Mailing address
7300 OLD YORK RD STE 203, ELKINS PARK, PA 19027-3062
(215) 635-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000943160-0004
—
PA
01
—
1750453950
NPI
—
Enumeration date
03/01/2022
Last updated
03/01/2022
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