Individual
GRACE YOONHEEKIM GOMBOLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114
(817) 301-5676
Mailing address
55 FRUIT ST # 720, BOSTON, MA 02114-2621
(817) 301-5676
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
251900
MA
Other
Enumeration date
03/24/2010
Last updated
05/10/2017
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