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Organization
FORM HEALTH ASSOCIATES MA, P.C.
Active
Organization
FORM HEALTH ASSOCIATES MA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAM H KIM MD (PRESIDENT)
(617) 505-1520
Entity
Organization
Contact information
Practice address
109 STATE STREET, 5TH FL, BOSTON, MA 02109-2906
(617) 505-1520
(617) 928-8401
Mailing address
109 STATE ST, 5TH FL, BOSTON, MA 02109-2906
(617) 505-1520
(617) 928-8401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
03/18/2026
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