Individual
DR. ALEXANDRA BOER KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
222718
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2083850
—
MA
01
—
469829
TUFTS HEALTH PLAN
MA
01
—
J28105
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
05/29/2018
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