Kim, Su Jung
Kim, Su Jung is an sole proprietor health care provider with primary practice located at 51 Medical Campus Dr , Lansdale PA 19446-1254. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kim, Su Jung can be contacted via phone (215) 997-2101.Contact Information
Primary practice address
51 Medical Campus Dr
Lansdale PA 19446-1254
Phone: (215) 997-2101
Fax: (215) 997-2102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD446353 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD446353 | Pennsylvania |
Profile Details
| NPI number | 1295005049 |
|---|---|
| LBN Legal business name | Kim, Su Jung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2012 |
| Last updated | Mar 19th, 2020 - about 5 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 | 1295005049 | NPPES |
| Pennsylvania | MEDICAID | 102960510 |
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