Kim, Soo Chong
Kim, Soo Chong is an individual health care provider with primary practice located at 360 Essex St Ste 401 , Hackensack NJ 07601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Kim, Soo Chong can be contacted via phone (551) 996-1140.Contact Information
Primary practice address
360 Essex St Ste 401
Hackensack NJ 07601
Phone: (551) 996-1140
Fax: (551) 996-0543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 25MA09671600 | New Jersey |
Profile Details
| NPI number | 1528353273 |
|---|---|
| LBN Legal business name | Kim, Soo Chong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2011 |
| Last updated | Jul 18th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528353273 | NPPES |
| New Jersey | MEDICAID | 0459810 |
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