EDWARD TAE KIM NPI 1457567836

NPI Information

NPI: 1457567836
Provider Name: EDWARD TAE KIM
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
658 N BLACK HORSE PK
RUNNEMEDE, NJ
ZIP 08078
Phone: (856) 939-3405
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Edward Tae Kim is a general practice in Runnemede, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Edward Tae Kim NPI is 1457567836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

658 N BLACK HORSE PK
RUNNEMEDE, NJ
ZIP 08078
Phone: (856) 939-3405
Fax: (856) 939-0104

The enumeration date for this NPI number is 5/15/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		11227	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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