Whalio Doctors

NPI 1417398405

Chang Min Richard Yim, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Newark, NJ

Practice location

Address
110 Bergen St # B854, Newark, NJ 07103-2495
Phone
(973) 972-7462
Fax
(973) 972-7322
Mailing address
7001 Arlington Rd, Bethesda, MD 20814-5405

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 16977 (MD)

Registry record

NPI
1417398405
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Jul 2013
Record last updated
12 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.