| Doctor Name: | DR. JAE EAN KIM |
| NPI Number: | 1043228372 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHARMD |
| License Number: | 28RI022624 |
| Business Practice Address: | 385 Tremont Ave East Orange, NJ - 070181023 |
| Business Phone Number: | 9736761000 |
| Business Fax Number: | |
| Mailing Address: | 10 Manor Rd, LIVINGSTON |
| State: | NJ |
| Postal Code: | 070393823 |
| Phone Number: | 9739949633 |
| Fax Number: | |
| NPI Enumeration Date: | 08/03/2006 |
| NPI Last Update Date: | 06/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835X0200X |
| License Number: | 28RI022624 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Oncology |
| Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |