Organization
KIM E BOWMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM E BOWMAN MD (PRESIDENT)
(617) 566-5600
Entity
Organization
Contact information
Practice address
1180 BEACON ST, SUITE 3B, BROOKLINE, MA 02446-3885
(617) 566-5600
(617) 277-3745
Mailing address
1180 BEACON ST, SUITE 3B, BROOKLINE, MA 02446-3885
(617) 566-5600
(617) 277-3745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45580
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
755268
TUFTS HEALTH PLAN
—
05
—
9706020
—
MA
01
—
KIM17749
BLUE CROSS BLUE SHIELD MA
MA
01
—
KIM17749
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/24/2007
Last updated
08/22/2020
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