Kim, Dae Un

Kim, Dae Un is an individual health care provider with primary practice located at 94 Old Short Hills Rd , Livingston NJ 07039-5672. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Kim, Dae Un can be contacted via phone (973) 322-5763.

Contact Information

Primary practice address
94 Old Short Hills Rd Livingston NJ 07039-5672
Phone: (973) 322-5763
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA02683700 New Jersey

Profile Details

NPI number 1225110034
LBN Legal business name Kim, Dae Un
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jan 12th, 2010 - about 14 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 1225110034 NPPES
New Jersey MEDICAID 2503107

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