Kim, Sam

Kim, Sam is an individual health care provider with primary practice located at 1 Diamond Hill Rd , Berkeley Heights NJ 07922-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Kim, Sam can be contacted via phone (908) 277-8668.

Contact Information

Primary practice address
1 Diamond Hill Rd Berkeley Heights NJ 07922-2104
Phone: (908) 277-8668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 25MA08673600 New Jersey

Profile Details

NPI number 1740226950
LBN Legal business name Kim, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 5th, 2020 - about 4 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 1740226950 NPPES
Pennsylvania Other 001412293 HIGHMARK BLUE SHIELD
Pennsylvania Other 2099400000 HIGHMARK BLUE SHIELD

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