Kim, Jung H

Kim, Jung H is an individual health care provider with primary practice located at 310 Cedar St Lauder Hall Rm 108, New Haven CT 06510-3218. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Kim, Jung H can be contacted via phone (203) 785-2788.

Contact Information

Primary practice address
310 Cedar St Lauder Hall Rm 108 New Haven CT 06510-3218
Phone: (203) 785-2788
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 022526 Connecticut
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 022526 Connecticut

Profile Details

NPI number 1518956937
LBN Legal business name Kim, Jung H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Aug 4th, 2008 - about 16 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 1518956937 NPPES
Connecticut MEDICAID 001225269

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