Individual
MYOUNG JIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-6610
(617) 638-6616
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1022219
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
1022219
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110221447A
—
MA
05
—
3149033
—
NH
Enumeration date
03/30/2019
Last updated
03/04/2026
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