Individual
DR. CHEONIL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-4910
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-4910
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
44100
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148075
—
MA
Enumeration date
04/05/2006
Last updated
08/20/2007
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