Jae Jin Kim (NPI# 1477742062, PAC ID# 2769479153) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1477742062 |
| PAC ID by PECOS | 2769479153 |
| Professional Enrollment ID | I20040428000320 |
| Full Name | Jae Jin Kim |
| Address |
889 Bridgeport Ave Milford CT 06460-3139 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1958 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070022 | YALE-NEW HAVEN HOSPITAL |
| 070010 | BRIDGEPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 889 Bridgeport Ave, Milford, CT 06460-3139 |
| Street Address |
889 BRIDGEPORT AVE |
| City | MILFORD |
| State | CT |
| Zip | 06460-3139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey H Kornblut | Chiropractic | 4 W Clark St, Milford, CT 06460-2516 | |
| Francoise M Boubert | Obstetrics/gynecology | Yale University | 326 W Main St, Suite 207, Milford, CT 06460-2560 |
| Daisy Bang | Rheumatology | Arthritis and Osteoporosis Center PC | 344 W Main St, Milford, CT 06460-2561 |
| Todd Alexander Morrison | Orthopedic Surgery | Orthopaedic Specialty Group PC | 321 Boston Post Rd, Milford, CT 06460-2574 |
| Birur G Chandra | Allergy/immunology | 2044 Bridgeport Ave, Milford, CT 06460-2633 | |
| Barbara J Feinberg | Clinical Social Worker | Rehabilitation Associates Inc | 680 Boston Post Rd, Milford, CT 06460-2684 |
| Maria Socci Mercado | Clinical Social Worker | Rehabilitation Associates Inc | 680 Boston Post Rd, Milford, CT 06460-2684 |
| John Loucopoulos | Optometry | 49 Turnpike Sq, Milford, CT 06460-2758 | |
| Franco Menta | Chiropractic | 9 Research Dr, Milford, CT 06460-2863 | |
| Colleen H Conroy | Clinical Social Worker | Bridges Healthcare Inc | 949 Bridgeport Ave, Milford, CT 06460-3142 |
| Find all physicians in zip 06460 | |||
| City | MILFORD |
| Zip Code | 06460 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | MILFORD + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Jae Jin Kim.
| 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.