Kim, Chong Duk

Kim, Chong Duk is an sole proprietor health care provider with primary practice located at 7300 Old York Rd Ste 203, Elkins Park PA 19027-3037. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kim, Chong Duk can be contacted via phone (215) 635-9000.

Contact Information

Primary practice address
7300 Old York Rd Ste 203 Elkins Park PA 19027-3037
Phone: (215) 635-9000
Fax: (215) 782-2232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD030721E Pennsylvania

Profile Details

NPI number 1750459350
LBN Legal business name Kim, Chong Duk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Oct 12th, 2012 - about 12 years ago

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 1750459350 NPPES
Pennsylvania Other 1750459350 BRAVO
Pennsylvania Other 0850038001 BRAVO
Pennsylvania Other 085936 BRAVO
Pennsylvania Other 1019107 BRAVO
Pennsylvania Other K808570 BRAVO
Pennsylvania Other 0850038001 BRAVO
Pennsylvania Other 37121 BRAVO

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