Provider Demographics
NPI:1679893432
Name:DAVID KANG, MD, PC
Entity type:Organization
Organization Name:DAVID KANG, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-709-4114
Mailing Address - Street 1:1457 RARITAN RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1252
Mailing Address - Country:US
Mailing Address - Phone:908-709-4114
Mailing Address - Fax:908-709-8011
Practice Address - Street 1:1457 RARITAN RD
Practice Address - Street 2:SUITE 203
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1252
Practice Address - Country:US
Practice Address - Phone:908-709-4114
Practice Address - Fax:908-709-8011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty