Individual
DR. CHANG SOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 SUMMER ST, STAMFORD, CT 06905-5546
(203) 920-1444
(866) 920-5178
Mailing address
999 SUMMER ST, STAMFORD, CT 06905-5546
(203) 920-1444
(866) 920-5178
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
048229
CT
208200000X
Plastic Surgery Physician
25MA07582400
NJ
Other
Enumeration date
07/26/2006
Last updated
03/01/2017
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