Individual
KIMBERLEY SHUI-YAN MAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
830 HARRISON AVE, MOAKLEY LL100, BOSTON, MA 02118-2905
(617) 638-7070
(617) 638-7037
Mailing address
801 ALBANY STREET, FL G, BOSTON, MA 02119-3791
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
253487
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110103293A
—
MA
Enumeration date
06/08/2010
Last updated
02/17/2021
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