Provider Demographics
NPI:1538439807
Name:KIM, EUGENIA JUNGSUN (MD)
Entity type:Individual
Prefix:DR
First Name:EUGENIA
Middle Name:JUNGSUN
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EUGENIA
Other - Middle Name:JUNGSUN
Other - Last Name:HAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:160 E ERIE AVE
Mailing Address - Street 2:DEPARTMENT OF ONCOLOGY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-1011
Mailing Address - Country:US
Mailing Address - Phone:215-427-6805
Mailing Address - Fax:215-427-6684
Practice Address - Street 1:160 E ERIE AVE
Practice Address - Street 2:DEPARTMENT OF ONCOLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-1011
Practice Address - Country:US
Practice Address - Phone:215-427-6805
Practice Address - Fax:215-427-6684
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4559832080P0207X
NY2643802080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology