Kim, Christopher C.

Kim, Christopher C. is an sole proprietor health care provider with primary practice located at 34 Progress St # 36 Suite A 7, Edison NJ 08820-1103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Kim, Christopher C. can be contacted via phone (732) 669-0077.

Contact Information

Primary practice address
34 Progress St # 36 Suite A 7 Edison NJ 08820-1103
Phone: (732) 669-0077
Fax: (732) 669-0076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA07159600 New Jersey

Profile Details

NPI number 1164430468
LBN Legal business name Kim, Christopher C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1164430468 NPPES
New Jersey MEDICAID 8968209

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