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Individual

CHRISTINA KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2150 COMMONWEALTH AVE, BRIGHTON, MA 02135-3852
(617) 552-3225
Mailing address
2150 COMMONWEALTH AVE, BRIGHTON, MA 02135-3852

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101266100
VA
207Q00000X
Family Medicine Physician
2021-00696
NC
207Q00000X
Family Medicine Physician
258887
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
T291487
MA

Other

Enumeration date
04/07/2017
Last updated
05/03/2022
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