Individual provider · Type 1 NPI
Edward Tae Kim
General Practice Physician · Runnemede, NJ
NPI number
1457567836
Active
Practice location
658 N Black Horse Pk
Runnemede, NJ 08078
Fax (856) 939-0104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 11227 (NJ) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1457567836
Edward Tae Kim's National Provider Identifier is 1457567836, issued on May 15, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Runnemede, NJ. The record was last updated on Jul 8, 2007.