Provider Demographics
NPI:1801230800
Name:KIM, FRANCESCA (LAC MSTOM, COS)
Entity Type:Individual
Prefix:MRS
First Name:FRANCESCA
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:LAC MSTOM, COS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-1858
Mailing Address - Country:US
Mailing Address - Phone:917-617-3948
Mailing Address - Fax:
Practice Address - Street 1:608 ANDERSON AVE
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-1858
Practice Address - Country:US
Practice Address - Phone:917-617-3948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-20
Last Update Date:2013-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25-MZ0092600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist