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Individual
DR. KIM J SCOLA
Active
Individual
DR. KIM J SCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1582369
MA
207R00000X
Internal Medicine Physician
1582369
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110061257A
—
MA
01
—
158236
TUFTS HEALTH PLAN
MA
01
—
J21198
BCBS MA
MA
Enumeration date
11/07/2005
Last updated
03/02/2011
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