DR. JAE JIN KIM M.D. PH.D. NPI 1477742062

NPI Information

DR. Jae Jin Kim, M.D., PH.D. is a general practice in Milford, CT. 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 DR. Jae Jin Kim, M.D., PH.D. NPI is 1477742062. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

889 BRIDGEPORT AVE
MILFORD WALK-IN MEDICAL CARE CENTER
MILFORD, CT
ZIP 06460-139
Phone: (203) 783-9899
Fax: (203) 877-9538

The NPI 1477742062 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 9/23/2014.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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