Kim, David Youngjin

Kim, David Youngjin is an individual health care provider with primary practice located at 350 Engle St , Englewood NJ 07631-1808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, David Youngjin can be contacted via phone (201) 894-3238.

Contact Information

Primary practice address
350 Engle St Englewood NJ 07631-1808
Phone: (201) 894-3238
Fax: (201) 894-0585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD064163L Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA06733300 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA06733300 New Jersey

Profile Details

NPI number 1528056777
LBN Legal business name Kim, David Youngjin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Nov 8th, 2019 - about 5 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 1528056777 NPPES
Pennsylvania MEDICAID 0017570890007

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