Kim, Joseph Jongbum
Kim, Joseph Jongbum is an individual health care provider with primary practice located at 350 Engle St Ste 6501 , Englewood NJ 07631-1808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Kim, Joseph Jongbum can be contacted via phone (201) 608-2800.Contact Information
Primary practice address
350 Engle St Ste 6501
Englewood NJ 07631-1808
Phone: (201) 608-2800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 25MA10410600 | New Jersey |
Profile Details
NPI number | 1356667158 |
---|---|
LBN Legal business name | Kim, Joseph Jongbum |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 19th, 2010 |
Last updated | Jan 10th, 2024 - about 10 months 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 | 1356667158 | NPPES |
New Jersey | MEDICAID | 0653144 |
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