Individual
JUNGJIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-2172
Mailing address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-2172
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
273885
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2014
Last updated
10/27/2021
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