| Chong Duk Kim Medical Office, Pc | |
|
7300 Old York Rd Ste 203 Elkins Park PA 19027-3062 | |
| (215) 635-0000 | |
| Not Available |
| Full Name | Chong Duk Kim Medical Office, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7300 Old York Rd Ste 203, Elkins Park, Pennsylvania |
| Authorized Official Name and Position | Chong Kim (MD) |
| Authorized Official Contact | 2157767388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chong Duk Kim Medical Office, Pc 7300 Old York Rd Ste 203 Elkins Park PA 19027-3062 Ph: (215) 635-9000 | Chong Duk Kim Medical Office, Pc 7300 Old York Rd Ste 203 Elkins Park PA 19027-3062 Ph: (215) 635-0000 |
| NPI Number | 1770239634 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/01/2022 |
| Medicare PECOS PAC ID | 6305229717 |
|---|---|
| Medicare Enrollment ID | O20220818000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770239634 | NPI | - | NPPES |
| 000943160-0004 | Medicaid | PA | |
| 1750453950 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Chong Duk Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750459350 PECOS PAC ID: 3678753662 Enrollment ID: I20110208000885 |
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