Baron Kim, | |
119 E Passaic St, Maywood, NJ 07607-1342 | |
(201) 880-7787 | |
Not Available |
Full Name | Baron Kim |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 119 E Passaic St, Maywood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205495264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Maywood Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568840080 PECOS PAC ID: 9537472410 Enrollment ID: O20150721002345 |
Provider Name | Emerson Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659837607 PECOS PAC ID: 0941541908 Enrollment ID: O20190401002281 |
Mailing Address | Practice Location Address |
---|---|
Baron Kim, 119 E Passaic St, Maywood, NJ 07607-1342 Ph: (201) 880-7787 | Baron Kim, 119 E Passaic St, Maywood, NJ 07607-1342 Ph: (201) 880-7787 |
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