Chong Tae Kim, M.D.
Physical Medicine & Rehabilitation in Philadelphia, PA. Individual provider (NPI-1).
NPI number1285643031
StatusActive
Last updated in NPPESApr 15, 2013
Details
- NPI
- 1285643031
- Entity type
- Individual (NPI-1)
- Name
- Chong Tae Kim
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2006
- Last updated
- Apr 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | MD073938L | PA | Yes |
Practice location
3401 Civic Center BlvdChildren'S Hospital Of Philadelphia - Rehabilitation
Philadelphia, PA 19104-4319
Phone 215-590-7439 · Fax 267-426-5236
Mailing address
100 E Penn Sq9th Floor
Philadelphia, PA 19107-3323
Phone 267-425-9234 · Fax 267-425-9299
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