Basic Information
| Provider Information | |||||||||
| NPI: | 1316207962 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KIM | ||||||||
| FirstName: | ANTONIA | ||||||||
| MiddleName: | FRANCIS | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD, MSCI | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | FRANCIS | ||||||||
| OtherFirstName: | ANTONIA | ||||||||
| OtherMiddleName: | PATRICE | ||||||||
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| OtherCredential: | MD, MSCI | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 327 8TH ST UNIT B | ||||||||
| Address2: | |||||||||
| City: | PALISADES PARK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076502201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3472496764 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 30 PROSPECT AVE # 2W-73 | ||||||||
| Address2: | |||||||||
| City: | HACKENSACK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076011915 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5519962453 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2012 | ||||||||
| LastUpdateDate: | 08/07/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VM0101X | 284384 | NY | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Maternal & Fetal Medicine | 207VM0101X | 25MA10586900 | NJ | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Maternal & Fetal Medicine |
No ID Information.