Kim, Soochung

Kim, Soochung is an individual health care provider with primary practice located at 97 W Parkway , Pompton Plains NJ 07444-1647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, Soochung can be contacted via phone (973) 831-5140.

Contact Information

Primary practice address
97 W Parkway Pompton Plains NJ 07444-1647
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA03273200 New Jersey

Profile Details

NPI number 1801888375
LBN Legal business name Kim, Soochung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jul 8th, 2007 - about 17 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 1801888375 NPPES
New Jersey MEDICAID 3240207

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