Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25MA09033000 | NJ |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 25MA09033000 | NJ |
NPI | 1154588937 |
---|---|
Provider Name | Dr. Richard Dongil Rhim |
First Address | Hackensack, NJ 07601-1960 |
Second Address | Hackensack, NJ 07601-1960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 25/01/2012 |