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Contact Information

JIN P KIM MD
330 WOODSTOWN RD
MEDICAL ARTS BLDG 2
SALEM, NJ08079
 Phone: 856-935-2577
 Fax: 856-935-0726
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JIN P KIM MD · (Female)

NPI Number 1538161377
Status Active
Credentials
Entity Individual
Enumeration date 08/11/2005
Last updated 10/10/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA02960300
  • NJ Medicaid 3039609
  • NJ Other 4090057 AETNA/US HEALTHCARE
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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