Individual
DR. DENNIS H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
208965
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005646
—
MA
01
—
322568
TUFTS HEALTH PLAN
MA
01
—
J25980
BCBS MA
MA
Enumeration date
12/12/2005
Last updated
01/03/2019
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