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NPI Lookup from the NPI Registry — National Provider Identifier Database

WANCHU T KIM, MD – NPI #1104916378
General Practice


Contact Information

WANCHU T KIM, MD
1272 CLIFTON AVE
CLIFTON, NJ07012
 Phone: 973-471-2916
 Fax: 973-470-9636
 Website:
 

Taxonomy / Specialty

Taxonomy Code
 

General Practice

208D00000X
 

Surgery

208600000X
Indicates primary specialty
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NPI Information for WANCHU T KIM · (Male)

NPI Number 1104916378
Credentials MD
Entity Individual
Enumeration date 10/16/2006
Last updated 07/08/2007 - About 7 years ago
Sole proprietor 1 No
Identifiers
NJ License # 25MA02527900
Medicare (Unspecified) K1139471
Medicare UPIN E51439
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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