Kim, Harold J

Kim, Harold J is an individual health care provider with primary practice located at 62 S Fullerton Ave , Montclair NJ 07042-2676. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kim, Harold J can be contacted via phone (973) 746-8585.

Contact Information

Primary practice address
62 S Fullerton Ave Montclair NJ 07042-2676
Phone: (973) 746-8585
Fax: (973) 746-0088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07472300 New Jersey
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 25MA07472300 New Jersey
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA07472300 New Jersey

Profile Details

NPI number 1659331221
LBN Legal business name Kim, Harold J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jan 25th, 2011 - about 15 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 1659331221 NPPES
New Jersey Other 118055B82 MEDICARE ID-TYPE UNSPECIFIED
New Jersey Other W22431 MEDICARE ID-TYPE UNSPECIFIED
New Jersey Other 643P022431 MEDICARE ID-TYPE UNSPECIFIED
New Jersey Other HK0643P020 MEDICARE ID-TYPE UNSPECIFIED

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