Provider Demographics
NPI:1023206612
Name:RIM, JOSEPHINE MYUNGHI (MD)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:MYUNGHI
Last Name:RIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:201-655-5642
Mailing Address - Fax:
Practice Address - Street 1:80 HAZLET AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1623
Practice Address - Country:US
Practice Address - Phone:732-379-7773
Practice Address - Fax:732-264-6889
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2013-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2089852081P2900X
NJ25MA078422002081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine