National Provider Identifier Database

JIN P KIM MD
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


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
* Vascular Surgery 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

* Indicates primary specialty

NPI Profile & details for JIN P KIM MD

NPI Number 1538161377
Legal business name
LBN
JIN P KIM MD
Authorized official LINDA BOOTH - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 08/11/2005
Last updated 10/10/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 25MA02960300
  • NJ Medicaid: 3039609
  • NJ Other: 4090057 AETNA/US HEALTHCARE

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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