Individual
DR. EDWARD KANGSUHP KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(571) 277-7029
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6106
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD471009
PA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
1015242
MA
Other
Enumeration date
03/29/2016
Last updated
08/03/2023
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