| Bomee Kim, | |
|
1 Broadway Ste 302, Elmwood Park, NJ 07407-1845 | |
| (201) 773-8962 | |
| (201) 773-8963 |
| Full Name | Bomee Kim |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 1 Broadway Ste 302, Elmwood Park, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578301388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 41YA00131000 (New Jersey) | Primary |
| Provider Name | Audslp Diagnostic and Rehabilitation Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891092755 PECOS PAC ID: 4587833264 Enrollment ID: O20110815000434 |
| Mailing Address | Practice Location Address |
|---|---|
| Bomee Kim, 1 Broadway Ste 302, Elmwood Park, NJ 07407-1845 Ph: (201) 773-8962 | Bomee Kim, 1 Broadway Ste 302, Elmwood Park, NJ 07407-1845 Ph: (201) 773-8962 |
Audslp Diagnostic And Rehabilitation Clinic 2 Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1 Broadway Ste 302, Elmwood Park, NJ 07407 Phone: 201-773-8962 Fax: 201-773-8963 |
Mrs. Dolores R. Boisselle, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: One Broadway, Suite 302, Elmwood Park, NJ 07407 Phone: 201-773-8962 Fax: 201-773-8963 |