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Contact Information

HAROLD J KIM, MD
62 S FULLERTON AVE
MONTCLAIR, NJ07042-2676
 Phone: 973-746-8585
 Fax: 973-746-0088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for HAROLD J KIM · (Male)

NPI Number 1659331221
Status Active
Credentials MD
Entity Individual
Enumeration date 03/27/2006
Last updated 01/25/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA07472300
  • NJ Other 118055B82 MEDICARE ID-TYPE UNSPECIFIED
  • NY Other 643P022431 MEDICARE ID TYPE UNSPECIFIED
  • NY Other HK0643P020 MEDICARE ID TYPE UNSPECIFIED
  • NY Other W22431 MEDICARE ID TYPE UNSPECIFIED
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
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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