Provider Demographics
NPI:1073573713
Name:YIM, FRANCES DAE IL (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:DAE IL
Last Name:YIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:FRANCES
Other - Middle Name:DAE IL YIM
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:913 W INMAN AVE
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-1531
Mailing Address - Country:US
Mailing Address - Phone:732-388-7999
Mailing Address - Fax:732-388-7992
Practice Address - Street 1:913 W INMAN AVE
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-1531
Practice Address - Country:US
Practice Address - Phone:732-388-7999
Practice Address - Fax:732-388-7992
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-25
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03563300207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0576808Medicaid
NJ0576808Medicaid
NJYI503785Medicare ID - Type Unspecified