Individual provider · Type 1 NPI

Ellen Kim

Specialist · Edison, NJ

NPI number 1679200968 Active

Practice location

10 Parsonage Rd Ste 318
Edison, NJ 08837-2429

Mailing address

7000 Austin St Ste 200
Forest Hills, NY 11375-4739

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679200968

Ellen Kim's National Provider Identifier is 1679200968, issued on Aug 5, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Edison, NJ. The record was last updated on Aug 9, 2022.