JIN P KIM MD; NPI #1538161377

Contact Information

JIN P KIM MD

330 WOODSTOWN RD
MEDICAL ARTS BLDG 2
SALEM, NJ 08079

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

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NPI Profile & details for JIN P KIM MD

NPI Number 1538161377

LBN Legal business name JIN P KIM MD

Authorized official LINDA BOOTH - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/11/2005

Last updated 10/10/2007 - About 19 years ago

Identifiers

NJ	License #	25MA02960300
NJ	Medicaid	3039609
NJ	Other	4090057	AETNA/US HEALTHCARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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JIN P KIM MD

Contact Information

Specialty

Vascular Surgery

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI Profile & details for JIN P KIM MD

Reviews for JIN P KIM MD