Eunja Kim is a Pediatrics in Fort Lee, New Jersey. Eunja Kim practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Eunja Kim is 1770679409. The last update date is 2014-07-25.
Eunja Kim's current location address is 2180 Center Ave, Fort Lee, New Jersey. You can contact this provider via phone number 2014616677. The mailing address for Eunja Kim is 2180 Center Ave, Fort Lee, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eunja Kim |
|---|---|
| Address | 2180 Center Ave, Fort Lee, New Jersey |
| Phone Number | 2014616677 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770679409 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2014-07-25 |
Provider Mailing Address Detail
| Address | 2180 Center Ave |
|---|---|
| City | Fort Lee |
| State | New Jersey (NJ) |
| Post Code | 70245860 |
| Phone Number | 2014616677 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MA66976 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8H6982 | NJ | EMPIRE BCBS | |
| P961741 | NJ | OXFORD |
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What is the unique 10-digit identifier code issued to Eunja Kim by the Centers for Medicare & Medicaid Services?
The Eunja Kim has been assigned the NPI (National Provider Identifier) 1770679409 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Eunja Kim?
The Eunja Kim is physically situated at 2180 Center Ave, in the city of Fort Lee, state of NJ, with the postal code 70245860.
What is the Eunja Kim's area of specialization and corresponding taxonomy classification?
The Eunja Kim's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Eunja Kim receive the assignment of its 1770679409 from the Centers for Medicare & Medicaid Services?
The Eunja Kim was issued its 1770679409 by the Centers for Medicare & Medicaid Services on 2006-10-04.
When was the information regarding Eunja Kim most recently updated?
The details pertaining to the Eunja Kim, including its address, specialty, and other relevant information, were last refreshed on 2014-07-25.