Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WANCHU THOMAS KIM, MD
ActiveWANCHU THOMAS KIM, MD is a General Practice healthcare provider located in CLIFTON, New Jersey. NPI 1104916378 is currently active in the NPPES registry. Verify at CMS.
General Practice · CLIFTON, NJ
Registration Details
- NPI Number
- 1104916378
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2006 (19.803341152303 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
25MA02527900 (NJ)25MA02527900 (NJ)
Practice Information
- Address
-
1272 CLIFTON AVECLIFTON, NJ, 07012Browse NJ providers · Browse ZIP 07012
- Phone
- 9734712916
- Fax
- 9734709636
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in CLIFTON, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. GRACE MELENDEZ | MD | 1710971676 |
| JESSE MANGONE | — | 1598777112 |
| DR. EMMANUEL ADEKUNLE ADEDOKUN | MD | 1417158767 |
| MELISSA RUSLI | D.O. | 1558554253 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.