Individual
DR. ROGER KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD, WEST PAVILION 1ST FL, PHILADELPHIA, PA 19104-4306
(215) 662-3202
(215) 349-8432
Mailing address
3400 CIVIC CENTER BLVD, WEST PAVILION 1ST FL, PHILADELPHIA, PA 19104-4306
(215) 662-3202
(215) 349-8432
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD467697
PA
Other
Enumeration date
05/27/2015
Last updated
02/17/2022
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