Edward Tae Kim

NPI #1457567836 in Runnemede, New Jersey

Provider Information

NPI Number: 1457567836
Entity Type: Individual
Name: Edward Tae Kim
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Enumeration Date: May 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 658 N BLACK HORSE PK
City: Runnemede
State: New Jersey
ZIP Code: 08078
Phone: (856) 939-3405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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