Individual
DR. MOON Y. KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36 HILLCREST DR, UPPER SADDLE RIVER, NJ 07458-2004
(201) 825-3454
Mailing address
36 HILLCREST DR, UPPER SADDLE RIVER, NJ 07458-2004
(201) 825-3454
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
118587
NY
207L00000X
Anesthesiology Physician
Primary
25MA02776100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00347860
—
NY
05
—
1092006
—
NJ
Enumeration date
08/18/2005
Last updated
08/05/2008
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