Chong Duk Kim Medical Office, Pc

LBN: Chong Duk Kim Medical Office, Pc
Chong Duk Kim Medical Office, Pc is an health care organization with primary practice located at 7300 Old York Rd Ste 203 , Elkins Park PA 19027-3062. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Chong Duk Kim Medical Office, Pc can be contacted via phone (215) 635-0000, or through Kim, Chong via phone (215) 776-7388.

Contact Information

Primary practice address
7300 Old York Rd Ste 203 Elkins Park PA 19027-3062
Phone: (215) 635-0000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Chong Doctor of Medicine (MD)
Phone: (215) 776-7388

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1770239634
LBN Legal business name Chong Duk Kim Medical Office, Pc
DBA Doing business as
Authorized official Kim, Chong Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2022
Last updated Mar 1st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770239634 NPPES
Pennsylvania MEDICAID 000943160-0004
Pennsylvania Other 1750453950

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