Individual
MARILYN S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1177 BOSTON PROVIDENCE TPKE, NORWOOD, MA 02062-5019
(781) 329-1400
(781) 278-5664
Mailing address
1177 BOSTON PROVIDENCE TPKE, NORWOOD, MA 02062-5019
(781) 329-1400
(781) 278-5667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77523
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0410132
UNITED HEALTHCARE
—
01
—
110145403
RAILROAD MEDICARE
—
01
—
116047
NEIGHBORHOOD HEALTH PLAN
—
01
—
27576
CHILDRENS MEDICAL SECURIT
—
01
—
3118525
MASS HEALTH DIV OF MED SV
—
01
—
4877330
HEALTHSOURCE
MA
01
—
4877330
CIGNA HEALTH CARE
—
01
—
62131
HARVARD PILGRIMPPO
—
01
—
761489
TUFTS BENEFIT ADMINISTRAT
—
01
—
E72131
FIRST SENIORITY
—
01
—
J14303
BS BLUE CARE ELECT
—
Enumeration date
06/30/2005
Last updated
03/07/2021
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