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Contact Information

SAM KIM, MD
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ07922-2104
 Phone: 908-277-8668
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for SAM KIM · (Male)

NPI # 1740226950
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2006
Last updated 03/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA08673600
  • PA Other 001412293 HIGHMARK BLUE SHIELD
  • PA Other 2099400000 INDEPENDENCE BLUE CROSS
Hospital affiliation(s) Not Available
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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