Individual
JESSICA SHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 LONGWOOD AVE # LO-545, BOSTON, MA 02115-5711
(617) 355-7648
Mailing address
333 LONGWOOD AVE # LO-545, BOSTON, MA 02115-5711
(617) 355-7648
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
277991
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/19/2015
Last updated
10/28/2019
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