| John Kim ,md Internal Medicine & Geriatrics | |
|
158 Linwood Plaza #324-325 Fort Lee NJ 07024 | |
| (201) 944-7300 | |
| (201) 944-7311 |
| Full Name | John Kim ,md Internal Medicine & Geriatrics |
|---|---|
| Speciality | Internal Medicine |
| Location | 158 Linwood Plaza #324-325, Fort Lee, New Jersey |
| Authorized Official Name and Position | Soon Kim (OFFICE MANAGER) |
| Authorized Official Contact | 2019447300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Kim ,md Internal Medicine & Geriatrics 158 Linwood Plaza #324-325 Fort Lee NJ 07024 Ph: (201) 944-7300 | John Kim ,md Internal Medicine & Geriatrics 158 Linwood Plaza #324-325 Fort Lee NJ 07024 Ph: (201) 944-7300 |
| NPI Number | 1891011854 |
|---|---|
| Provider Enumeration Date | 04/15/2010 |
| Last Update Date | 03/28/2023 |
| Medicare PECOS PAC ID | 2062691983 |
|---|---|
| Medicare Enrollment ID | O20110125000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891011854 | NPI | - | NPPES |
| 7954604 | Medicaid | NJ |
| Provider Name | John Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659359263 PECOS PAC ID: 0143409086 Enrollment ID: I20110125000731 |
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