Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD TAE KIM
ActiveEDWARD TAE KIM is a General Practice healthcare provider located in RUNNEMEDE, New Jersey. NPI 1457567836 is currently active in the NPPES registry. Verify at CMS.
General Practice · RUNNEMEDE, NJ
Registration Details
- NPI Number
- 1457567836
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2007 (19.280797724377 yrs)
- Last Updated
- Jul 8, 2007
- License
-
11227 (NJ)
Practice Information
- Address
-
658 N BLACK HORSE PKRUNNEMEDE, NJ, 08078Browse NJ providers · Browse ZIP 08078
- Phone
- 8569393405
- Fax
- 8569390104
- Primary Specialty
-
General Practice
208D00000X
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.