Individual
ALICE I KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 RAIDER BLVD STE 101, HILLSBOROUGH, NJ 08844-1528
(908) 281-0221
Mailing address
105 RAIDER BLVD STE 101, HILLSBOROUGH, NJ 08844-1528
(908) 281-0221
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA11974700
NJ
207RI0200X
Infectious Disease Physician
35076161K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2261065
—
OH
Enumeration date
04/26/2006
Last updated
09/25/2023
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