Kim, Hazel H

Kim, Hazel H is an individual health care provider with primary practice located at 65 James St , Edison NJ 08820-3947. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Kim, Hazel H can be contacted via phone (732) 321-7680.

Contact Information

Primary practice address
65 James St Edison NJ 08820-3947
Phone: (732) 321-7680
Fax: (732) 321-7008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA03785800 New Jersey
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 25MA03785800 New Jersey

Profile Details

NPI number 1215970967
LBN Legal business name Kim, Hazel H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Nov 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215970967 NPPES
New Jersey MEDICAID 2010500

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