Individual
OLIVIA S KIM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
132 CENTRAL ST, SUITE 116, FOXBORO, MA 02035
(508) 543-6306
(508) 543-2976
Mailing address
132 CENTRAL STREET, SUITE 116, FOXBORO, MA 02035
(508) 543-6306
(508) 543-2976
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
223317
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470382
TUFTS HEALTH PLAN
—
01
—
AA39624
HARVARD PILGRIM
—
01
—
J29040
BLUE/SHIELD MA
—
Enumeration date
02/10/2006
Last updated
07/08/2007
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