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Contact Information

JEONGWON KIM, MD
1608 LEMOINE AVE STE 206
FORT LEE, NJ07024-5622
 Phone: 917-301-5821
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEONGWON KIM · (Female)

NPI # 1831199199
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2005
Last updated 03/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 42398
  • NY License # 230641
Hospital affiliation(s)
  • HOLY NAME MEDICAL CENTER - (Acute Care)
    718 TEANECK RD
    TEANECK, NJ 07666
  • HOLY NAME MEDICAL CENTER - (Acute Care)
    718 TEANECK RD
    TEANECK, NJ 07666
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
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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