Individual
DR. CHRISTOPHER E KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44 E JIMMIE LEEDS RD STE 101, GALLOWAY, NJ 08205-9599
(609) 677-9729
Mailing address
8025 BLACK HORSE PIKE STE 300, PLEASANTVILLE, NJ 08232-2962
(609) 652-8316
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA10365500
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA10365500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0637327
—
NJ
01
—
678914
MEDICARE
NJ
Enumeration date
07/18/2012
Last updated
10/14/2024
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