Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 208985 | NY |
Y | 2081P2900X | Pain Medicine | 25MA07842200 | NJ |
NPI | 1023206612 |
---|---|
Provider Name | Josephine Myunghi Rim |
First Address | Holmdel, NJ 07733-1624 |
Second Address | Hazlet, NJ 07730-1623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2007 |
Last Update Date | 23/06/2013 |