| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DANIEL WONSUK KIM | 1376078014 | 2023-01-22 |
Daniel Wonsuk Kim is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1376078014. Registration indicates Daniel Wonsuk Kim is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Surgery) (Surgery, ) (Specialist Network, ) (Surgery, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Daniel Wonsuk Kim M.D. |
| Practice Office Address | 1000 10TH AVE NEW YORK, NY US |
| Practice Office Telephone | 2125234000 |
| Mailing Address | 1000 10TH AVE NEW YORK, NY 100191147 US |
| Business Telephone | 2125234000 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1 Foxtail Ct | Mount Laurel, NJ 080549670 | 2018198934 98934 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 208600000X PRIMARY | Allopathic & Osteopathic Physicians Surgery Surgery Specialist Network Surgery Allopathic & Osteopathic Physicians | MT219423
PA |