Individual
JOHN S KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 LEMOINE AVE, FORT LEE, NJ 07024-6232
(201) 461-8110
(201) 461-3614
Mailing address
2500 LEMOINE AVE, FORT LEE, NJ 07024-6232
(201) 461-8110
(201) 461-3614
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA38785
NJ
Other
Enumeration date
04/10/2006
Last updated
07/26/2010
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