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Contact Information

KIM KING CHAN, MD
718 TEANECK ROAD
TEANECK, NJ07666
 Phone: 201-833-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KIM KING CHAN · (Male)

NPI Number 1750383188
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2005
Last updated 06/17/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA03194200
  • NJ Medicaid 5425301
  • NJ Other P00674579 RAIL ROAD MEDICARE
  • PA Other P00766578 RR MEDICARE
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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