Provider First Line Business Practice Location Address:
5438 N LAWRENCE STREET
Provider Second Line Business Practice Location Address:
ATTN: HI SOOK KIM, MD
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-224-2111
Provider Business Practice Location Address Fax Number:
215-224-6452
Provider Enumeration Date:
08/30/2006