Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 25MA10586900 | NJ |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 284384 | NY |
NPI | 1316207962 |
---|---|
Provider Name | Mrs. Antonia Francis Kim |
First Address | Palisades Park, NJ 07650-2201 |
Second Address | Hackensack, NJ 07601-1915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2012 |
Last Update Date | 07/08/2019 |