Individual
A. KIM KIM SAAL
Active
Individual
A. KIM KIM SAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
54454
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054454
TUFTS
MA
01
—
4035520
AETNA HEALTH PLAN
MA
05
—
6196713
—
MA
01
—
J04414
BCBS
MA
Enumeration date
02/28/2006
Last updated
03/27/2015
Update your record
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