Individual
ZACHARY KWONGJO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA12179100
NJ
207P00000X
Emergency Medicine Physician
329020
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2021
Last updated
05/28/2024
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