Wanchu Thomas Kim, MD is a
General Practice physician based in Clifton, New Jersey. Wanchu Thomas Kim is licensed to practice in New Jersey (license number 25MA02527900) and his current practice location is 1272 Clifton Ave, Clifton, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 471-2916.
NPI number for Wanchu Thomas Kim is 1104916378 and his current mailing address is 1272 Clifton Ave, Clifton, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104916378.
Physician's Profile
| Full Name | Wanchu Thomas Kim |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1272 Clifton Ave, Clifton, 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: 1104916378
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Wanchu Thomas Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104916378 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 25MA02527900 (New Jersey) | Primary |
| 208D00000X | General Practice | 25MA02527900 (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. Wanchu Thomas 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 |
|---|
Wanchu Thomas Kim, MD
1272 Clifton Ave,
Clifton, NJ 07012
Ph: (973) 471-2916 | Wanchu Thomas Kim, MD
1272 Clifton Ave,
Clifton, NJ 07012
Ph: (973) 471-2916 |
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