| So Yeon Kim, MD | |
|
6 Devine St, North Haven, CT 06473-2195 | |
| (203) 407-8002 | |
| Not Available |
| Full Name | So Yeon Kim |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Medical Oncology |
| Location | 6 Devine St, North Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760831408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0000X | Internal Medicine - Hematology | 72166 (Connecticut) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | 72166 (Connecticut) | Primary |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Mailing Address | Practice Location Address |
|---|---|
| So Yeon Kim, MD 333 Cedar Street, Www205, New Haven, CT 06510 Ph: (203) 785-4095 | So Yeon Kim, MD 6 Devine St, North Haven, CT 06473-2195 Ph: (203) 407-8002 |
Dr. Vincent Dicola, MD, FACC, NASPE Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Devine Street, Suite #1, North Haven, CT 06473 Phone: 203-789-2272 Fax: 203-865-8614 | |
Dr. Georgia Ann Kelley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Broadway, North Haven, CT 06473 Phone: 203-234-1891 Fax: 203-234-2678 | |
Dr. Lorenzo Salvatore Galante, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Broadway, North Haven, CT 06473 Phone: 203-234-6500 Fax: 203-234-6503 | |
Dr. Dianne Jean Defusco, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Broadway, North Haven, CT 06473 Phone: 203-234-6500 Fax: 203-234-6503 | |
Dr. Eric Grubman, MD, FACC, NASPE Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Devine Street, Suite # 1, North Haven, CT 06473 Phone: 203-789-2272 Fax: 203-865-8614 | |
Parvati Singh, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 8 Devine St, North Haven, CT 06473 Phone: 203-287-3550 | |
Dr. Steven Jacoby, M.D., F.A.C.C. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Devine Street, Suite # 1, North Haven, CT 06473 Phone: 203-789-2272 Fax: 203-865-8614 |