institution
Soon Ja Kim Md Pa
Adult Medicine Physician in Elkridge, Maryland
NPI 1669796710

Soon Ja Kim Md Pa is an Adult Medicine Physician based in Elkridge, MD and is specialized in Adult Medicine. Soon Ja Kim Md Pa practices in Elkridge, MD. The NPI Number for Soon Ja Kim Md Pa is 1669796710 and holds a License No. (Maryland).

The current practice location address for Soon Ja Kim Md Pa is 5808 Main St, Elkridge, MD and can be reached out via phone at 410-796-7730 and via fax at 410-379-1537.

Location: 5808 Main St, Elkridge, MD, 21075-5105
institution
Provider Profile Details
NPI Number
1669796710
Provider Name
Soon Ja Kim Md Pa
Credential
Provider Entity Type
Organization
Address
5808 Main St, Elkridge, MD, 21075-5105
Phone Number
410-796-7730
Fax Number
410-379-1537
Provider Enumeration Date
03/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
794391100 05 MD
010003063 01 MD MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
5808 Main St
City
State
Zip
21075-5105
Phone Number
410-796-7730
Fax Number
410-379-1537
person
Provider Business Mailing Address Details
Address
5808 Main St
City
State
Zip
21075-5105
Phone Number
410-796-7730
Fax Number
410-379-1537
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
()
Definition
Definition to come.
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