| David Tae Kim, LAC | |
|
210 Whiteman St Ste 105, Fort Lee, NJ 07024-6943 | |
| (862) 246-6885 | |
| Not Available |
| Full Name | David Tae Kim |
|---|---|
| Gender | Male |
| Speciality | Acupuncturist |
| Location | 210 Whiteman St Ste 105, Fort Lee, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699429258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 007062 (New York) | Secondary |
| 171100000X | Acupuncturist | 25MZ00157700 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David Tae Kim, LAC 210 Whiteman St Ste 105, Fort Lee, NJ 07024-6943 Ph: (862) 246-6885 | David Tae Kim, LAC 210 Whiteman St Ste 105, Fort Lee, NJ 07024-6943 Ph: (862) 246-6885 |
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