Individual
JOE KIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1000
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
218839
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030518
NEIGHBORHOOD HEALTH
MA
05
—
2020050
—
MA
01
—
409523
TUFTS
MA
01
—
6000455
HARVARD PILGRIM
MA
01
—
J26757
BLUE CROSS
MA
Enumeration date
07/05/2006
Last updated
02/12/2013
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