Roger, Marcela Kim

Roger, Marcela Kim is an sole proprietor health care provider with primary practice located at 18 E Laurel Rd , Stratford NJ 08084-1327. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Roger, Marcela Kim can be contacted via phone (856) 218-5634.

Contact Information

Primary practice address
18 E Laurel Rd Stratford NJ 08084-1327
Phone: (856) 218-5634
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA09086100 New Jersey
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT194274 Pennsylvania

Profile Details

NPI number 1205063914
LBN Legal business name Roger, Marcela Kim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2009
Last updated Dec 29th, 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 1205063914 NPPES
New Jersey MEDICAID 0351237

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