Tibaldi, Kim Nguyen

Tibaldi, Kim Nguyen is an individual health care provider with primary practice located at 94 Old Short Hills Rd , Livingston NJ 07039-5672. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Tibaldi, Kim Nguyen can be contacted via phone (973) 322-5065.

Contact Information

Primary practice address
94 Old Short Hills Rd Livingston NJ 07039-5672
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301083840 Michigan
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA08456300 New Jersey

Profile Details

NPI number 1346309531
LBN Legal business name Tibaldi, Kim Nguyen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Mar 19th, 2013 - about 12 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 1346309531 NPPES
New Jersey MEDICAID 0175625

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