Individual
DR. JONATHAN YOUNGSUK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4159
(978) 287-3794
Mailing address
133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4159
(978) 287-3794
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
258523
MA
2085R0202X
Diagnostic Radiology Physician
Primary
258523
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110125592A
—
MA
05
—
3144679
—
NH
Enumeration date
06/30/2011
Last updated
05/08/2026
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