Healthcare Provider Details

I. General information

NPI: 1073573713
Provider Name (Legal Business Name): FRANCES DAE IL YIM M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: FRANCES DAE IL YIM KIM M.D.

II. Dates (important events)

Enumeration Date: 03/25/2006
Last Update Date: 07/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 W INMAN AVE
RAHWAY NJ
07065-1531
US

IV. Provider business mailing address

913 W INMAN AVE
RAHWAY NJ
07065-1531
US

V. Phone/Fax

Practice location:
  • Phone: 732-388-7999
  • Fax: 732-388-7992
Mailing address:
  • Phone: 732-388-7999
  • Fax: 732-388-7992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number25MA03563300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: