Mr. Jimmy Kim
Sports Medicine Doctor
300 Winston Dr Apt 217
Cliffside Park
, New Jersey 07010-3210
Mr. Jimmy Kim
Sports Medicine Doctor
300 Winston Dr Apt 217
Cliffside Park
, New Jersey 07010-3210
(201) 969-2752
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Mr. Jimmy Kim
- 300 Winston Dr Apt 217
- Cliffside Park, NJ
- Zip : 07010-3210
- Fax : (201) 969-2752
- Phone : (201) 693-1531
Second Address
- Mr. Jimmy Kim
- 300 Winston Dr Apt 217
- Cliffside Park, NJ
- Zip : 07010-3210
- Fax : (201) 969-2752
- Phone : (201) 693-1531
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 40QA00840500 | NJ |
National Provider Identifier
| NPI | 1043233588 |
|---|---|
| Provider Name | Mr. Jimmy Kim |
| First Address | Cliffside Park, NJ 07010-3210 |
| Second Address | Cliffside Park, NJ 07010-3210 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.