Provider Demographics
NPI:1588853964
Name:JOSEPHINE RIM MD PLLC
Entity Type:Organization
Organization Name:JOSEPHINE RIM MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-379-7773
Mailing Address - Street 1:21 DORA LN
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1624
Mailing Address - Country:US
Mailing Address - Phone:732-379-7773
Mailing Address - Fax:732-264-6889
Practice Address - Street 1:29 VILLAGE CT
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730
Practice Address - Country:US
Practice Address - Phone:732-379-7773
Practice Address - Fax:732-264-6889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2089852081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty