Kim, Eunja

Kim, Eunja is an sole proprietor health care provider with primary practice located at 2180 Center Ave Ste.1, Fort Lee NJ 07024-5860. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kim, Eunja can be contacted via phone (201) 461-6677.

Contact Information

Primary practice address
2180 Center Ave Ste.1 Fort Lee NJ 07024-5860
Phone: (201) 461-6677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA66976 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 198971-1 New York

Profile Details

NPI number 1770679409
LBN Legal business name Kim, Eunja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 25th, 2014 - about 11 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 1770679409 NPPES
New Jersey Other 8H6982 EMPIRE BCBS
New Jersey Other P961741 EMPIRE BCBS

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