Individual
TAE WON BENJAMIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 342-2000
Mailing address
1 FEDERAL ST # 100, CAMDEN, NJ 08103-1088
(856) 356-4924
(856) 356-4793
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA09492900
NJ
207X00000X
Orthopaedic Surgery Physician
268575
NY
207X00000X
Orthopaedic Surgery Physician
MD442398
PA
207X00000X
Orthopaedic Surgery Physician
MT192453
PA
Other
Enumeration date
06/26/2008
Last updated
01/09/2018
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