Jin P Kim Md
Vascular Surgery Physician in Salem, NJ(View on Map)
Legal Business Name
Jin P Kim Md
NPI Number
1538161377
NPI Type
Organization
Enumeration Date
08/11/2005
Specialties
(Taxonomies)Code
2086S0129X
208G00000X
Primary Taxonomy
Yes
No
Licenses
State
New Jersey
License Number
25MA02960300
Contact
Information
Purpose
Mailing
Location
Address
330 WOODSTOWN RD
330 WOODSTOWN RD
City
Salem
Salem
State
NJ
NJ
Postal Code
08079
08079
Country
US
US
Telephone Number
(856) 935-2577
(856) 935-2577
Authorized Official
Name
Linda Booth
Title or Position
OFFICE MANAGER
Telephone Number
(856) 935-2577
Identifiers
Identifier
3039609
4090057
Identifier State
NJ
NJ
Identifier Issuer
Unknown
AETNA/US HEALTHCARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/10/2007