Individual
DR. EUNJA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2180 CENTER AVE, STE.1, FORT LEE, NJ 07024-5860
(201) 461-6677
Mailing address
16410 NORTHERN BLVD, STE 207, FLUSHING, NY 11358-2677
(201) 370-7379
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
198971-1
NY
208000000X
Pediatrics Physician
MA66976
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8H6982
EMPIRE BCBS
NJ
01
—
P961741
OXFORD
NJ
Enumeration date
10/04/2006
Last updated
07/25/2014
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