Individual
DR. KATHERINE NIMKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, FND 2 RADIOLOGICAL ASSOCIATES, BOSTON, MA 02114-2696
(617) 724-4207
(617) 726-8360
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-4207
(617) 726-8360
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
60313
MA
2085R0202X
Diagnostic Radiology Physician
60313
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3043606
—
MA
01
—
735227
TUFTS HEALTH PLAN
MA
01
—
J08410
BCBS MA
MA
Enumeration date
10/24/2005
Last updated
08/09/2012
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