Kim, Sam Kwang

Kim, Sam Kwang is an individual health care provider with primary practice located at 228 Roseberry St Suite # 3, Phillipsburg NJ 08865-1687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kim, Sam Kwang can be contacted via phone (908) 454-4545.

Contact Information

Primary practice address
228 Roseberry St Suite # 3 Phillipsburg NJ 08865-1687
Phone: (908) 454-4545
Fax: (908) 454-3227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA02776000 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD019259Y Pennsylvania

Profile Details

NPI number 1558307579
LBN Legal business name Kim, Sam Kwang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1558307579 NPPES
New Jersey MEDICAID 0392405

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