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Contact Information

JUSTIN KIM, MDPP COACH
7 BROAD AVE
SUITE 206
PALISADES PARK, NJ07650
 Phone: 201-313-0131
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for JUSTIN KIM · (Male)

NPI # 1063904134
Status Active
Credentials MDPP COACH
Entity Individual
Enumeration date 06/04/2018
Last updated 06/04/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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