Organization
MARTIN SUNG KIM, O.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN SUNG KIM O.D. (PRESIDENT)
(201) 421-9319
Entity
Organization
Contact information
Practice address
121 BROAD AVE, PALISADES PARK, NJ 07650-1441
(201) 346-1500
(201) 346-1549
Mailing address
333 GRAND AVE, #2J, PALISADES PARK, NJ 07650-1251
(201) 421-9319
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00604800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129011
—
NJ
05
—
02837805
—
NY
Enumeration date
06/21/2006
Last updated
06/03/2008
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