Individual
DR. SUNG BAI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2027 PULASKI HWY, 205, HAVRE DE GRACE, MD 21078-2143
(443) 843-6363
Mailing address
2027 PULASKI HWY, 205, HAVRE DE GRACE, MD 21078-2143
(443) 843-6363
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0061707
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405670100
—
MD
Enumeration date
02/24/2006
Last updated
12/12/2012
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