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NPI Code Detail

MEDICARE: HYUNJIN KIM

MEDICARE: HYUNJIN KIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28RI04076800NJ

General Provider Information

NPI Number : 1619515509
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYUNJIN KIM
Provider Business Mailing Address
First Line : 315 S HARRISON ST APT 709
Second Line :
City : EAST ORANGE
State : NJ
Zip : 07018-1512
Country : US
Telephone Number : 732-895-9091
Fax Number :
Provider Business Practice Location Address
First Line : 205 SUMMER AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07104-2628
Country : US
Telephone Number : 973-481-3388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2019
Last Update Date : 12/11/2019

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Directions to “ HYUNJIN KIM ” Practice Location

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