Individual
ELLEN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, ASB1- L2, BOSTON, MA 02115-6110
(617) 732-6322
Mailing address
75 FRANCIS ST, ASB1- L2, BOSTON, MA 02115
(330) 731-1310
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
283029
MA
Other
Enumeration date
04/23/2015
Last updated
08/20/2020
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