Edward Tae Kim, is a
General Practice physician based in Runnemede, New Jersey. Edward Tae Kim is licensed to practice in New Jersey (license number 11227) and his current practice location is 658 N Black Horse Pk, Runnemede, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(856) 939-3405.
NPI number for Edward Tae Kim is 1457567836 and his current mailing address is 658 N Black Horse Pk, Runnemede, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457567836.
Physician's Profile
| Full Name | Edward Tae Kim |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 658 N Black Horse Pk, Runnemede, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457567836
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Edward Tae Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457567836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 11227 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edward Tae Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Edward Tae Kim,
658 N Black Horse Pk,
Runnemede, NJ 08078
Ph: (856) 939-3405 | Edward Tae Kim,
658 N Black Horse Pk,
Runnemede, NJ 08078
Ph: (856) 939-3405 |
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