Individual
MARISA ESTHER LEE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
61 BRADLEY ST, BRISTOL, CT 06010-5103
(860) 584-8021
Mailing address
61 BRADLEY ST, BRISTOL, CT 06010-5103
(860) 584-8021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61896
CT
Other
Enumeration date
06/15/2016
Last updated
07/08/2019
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