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Contact Information

MITCHELL KIM, MD
145 WYCKOFF RD STE 301
EATONTOWN, NJ07724-1887
 Phone: 848-208-5250
 Fax: 732-935-1590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MITCHELL KIM · (Male)

NPI Number 1144752122
Status Active
Credentials MD
Entity Individual
Enumeration date 03/30/2017
Last updated 03/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA11030700
Hospital affiliation(s)
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
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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