Kim, Chang Nam

Kim, Chang Nam is an sole proprietor health care provider with primary practice located at 22 Woodstone Dr , Cedar Grove NJ 07009-1940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kim, Chang Nam can be contacted via phone (973) 773-9228.

Contact Information

Primary practice address
22 Woodstone Dr Cedar Grove NJ 07009-1940
Phone: (973) 773-9228
Fax: (973) 857-3123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA03826200 New Jersey

Profile Details

NPI number 1063516458
LBN Legal business name Kim, Chang Nam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated Jun 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063516458 NPPES
New Jersey Other A62478 UPIN

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