Provider Demographics
NPI:1548153190
Name:KANG, DEBORAH MINJOO
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:MINJOO
Last Name:KANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 E MIDLAND AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2926
Mailing Address - Country:US
Mailing Address - Phone:201-599-8000
Mailing Address - Fax:201-599-8003
Practice Address - Street 1:15 E MIDLAND AVE STE 1A
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2926
Practice Address - Country:US
Practice Address - Phone:201-599-8000
Practice Address - Fax:201-599-8003
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program