Kim, Bernard Haksoo

Kim, Bernard Haksoo is an individual health care provider with primary practice located at 20 Prospect Ave Suite 201, Hackensack NJ 07601-1997. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Kim, Bernard Haksoo can be contacted via phone (201) 996-4849.

Contact Information

Primary practice address
20 Prospect Ave Suite 201 Hackensack NJ 07601-1997
Phone: (201) 996-4849
Fax: (551) 996-5703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 248070 New York
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 25MA07795000 New Jersey

Profile Details

NPI number 1518166420
LBN Legal business name Kim, Bernard Haksoo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Nov 21st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518166420 NPPES
New York MEDICAID 02961053

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