Individual
DORIS M. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
670 CENTRE STREET, BROCKTON, MA 02302
(508) 941-7000
(508) 473-8695
Mailing address
800 WASHINGTON STREET BOX 1013, BOSTON, MA 02111
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
150507
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3155765
—
MA
Enumeration date
08/18/2006
Last updated
06/08/2023
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