Kim, Jason
Kim, Jason is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Phila - Infectious Diseases, Philadelphia PA 19104-4319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Kim, Jason can be contacted via phone (215) 590-2017.Contact Information
Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Phila - Infectious Diseases
Philadelphia PA 19104-4319
Phone: (215) 590-2017
Fax: (215) 590-2025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD419002 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | MD419002 | Pennsylvania |
Profile Details
| NPI number | 1386667319 |
|---|---|
| LBN Legal business name | Kim, Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Apr 19th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386667319 | NPPES |
| New Jersey | MEDICAID | 0047287 | |
| New Jersey | MEDICAID | 101118367 |
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