Individual
TAE MOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL CAMPUS DR, LANSDALE, PA 19446-1259
(215) 368-2100
(215) 361-4922
Mailing address
100 MEDICAL CAMPUS DR, LANSDALE, PA 19446-1259
(215) 361-4623
(215) 361-4922
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD033329L
PA
Other
Enumeration date
09/03/2006
Last updated
07/08/2007
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