EDWARD TAE KIM
NPI 1457567836
General Practice in Runnemede, NJ
Active since May 15, 2007
About Edward Tae Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD TAE KIM (NPI 1457567836) is an individual general practice provider in Runnemede, New Jersey, licensed in New Jersey (11227) and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1457567836
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameEDWARD TAE KIM
Location Address658 N BLACK HORSE PKRunnemede, NJ 08078
Mailing Address658 N Black Horse PkRunnemede, NJ 08078 · (856) 939-3405 · Fax (856) 939-0104
Phone(856) 939-3405
Fax(856) 939-0104
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1457567836 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NJ · 11227
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
658 N BLACK HORSE PK, Runnemede, NJ 08078
Other Names 1
Professional Name (2)Edward Tae Kim Dmd
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457567836, enumerated as an "individual" on May 15, 2007.
The provider is located at 658 N BLACK HORSE PK RUNNEMEDE, NJ 08078 and the phone number is (856) 939-3405.
General Practice with taxonomy code 208D00000X.
