Wanchu Thomas Kim (NPI# 1104916378, PAC ID# 8527195882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1104916378 |
| PAC ID by PECOS | 8527195882 |
| Professional Enrollment ID | I20100420000045 |
| Full Name | Wanchu Thomas Kim |
| Address |
1272 Clifton Ave Clifton NJ 07012-1344 |
| Phone Number | 9734541256 |
| Gender | M |
| Graduation Year | 1960 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310006 | ST MARY'S GENERAL HOSPITAL |
| 310019 | ST JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1272 Clifton Ave, Clifton, NJ 07012-1344 | 9734541256 |
| Street Address |
1272 CLIFTON AVE |
| City | CLIFTON |
| State | NJ |
| Zip | 07012-1344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonid Shapiro | Anesthesiology | Pmr Medical PC | 790 Bloomfield Ave, Suite A1, Clifton, NJ 07012-1124 |
| Linda M Tanks | Clinical Social Worker | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Garrett B Coan | Clinical Social Worker | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Elise S Nerenberg | Clinical Social Worker | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Denise M White | Psychologist, Clinical | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Shani Stein | Psychiatry | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Lois M Deritter | Psychiatry | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Carol A Albanese | Clinical Social Worker | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Louise Gabriele | Nurse Practitioner | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Raymond Chong | Psychiatry | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Find all physicians in zip 07012 | |||
| City | CLIFTON |
| Zip Code | 07012 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CLIFTON + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.