Kim, Harold J
Kim, Harold J is an individual health care provider with primary practice located at 62 S Fullerton Ave , Montclair NJ 07042-2676. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kim, Harold J can be contacted via phone (973) 746-8585.Contact Information
Primary practice address
62 S Fullerton Ave
Montclair NJ 07042-2676
Phone: (973) 746-8585
Fax: (973) 746-0088
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07472300 | New Jersey |
Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 25MA07472300 | New Jersey |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA07472300 | New Jersey |
Profile Details
NPI number | 1659331221 |
---|---|
LBN Legal business name | Kim, Harold J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2006 |
Last updated | Jan 25th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659331221 | NPPES |
New Jersey | Other | 118055B82 | MEDICARE ID-TYPE UNSPECIFIED |
New Jersey | Other | W22431 | MEDICARE ID-TYPE UNSPECIFIED |
New Jersey | Other | 643P022431 | MEDICARE ID-TYPE UNSPECIFIED |
New Jersey | Other | HK0643P020 | MEDICARE ID-TYPE UNSPECIFIED |
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