Individual
SORA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6000
Mailing address
11 SEVEN SPRINGS LN, APT 107, BURLINGTON, MA 01803-5142
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
265642
MA
Other
Enumeration date
07/20/2012
Last updated
11/17/2016
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