Individual
DR. RICHARD KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 DAVIS AVE, SUITE 02, NEPTUNE, NJ 07753-4401
(732) 776-2433
(732) 776-4403
Mailing address
51-02 DAVIS AVE., NEPTUNE, NJ 07753
(732) 776-2433
(732) 776-4403
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA09956700
NJ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
25MA09956700
NJ
Other
Enumeration date
05/27/2014
Last updated
01/06/2017
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