Individual
SANG H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
761 MAIN AVE, SUITE 102, NORWALK, CT 06851
(203) 810-4151
(203) 810-4150
Mailing address
99 EAST RIVER DRIVE, 5TH FLOOR, EAST HARTFORD, CT 06108-7301
(860) 282-0833
(203) 282-0170
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
044674
CT
207N00000X
Dermatology Physician
2013-01906
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942318209
—
NC
05
—
NC2066
—
SC
Enumeration date
08/28/2006
Last updated
02/01/2017
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