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Individual

SUSAN J KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
206 MILL RD, FAIRHAVEN, MA 02719-5208
(508) 973-3000
(508) 973-3119
Mailing address
200 MILL RD, STE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
233162
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110077308A
MA
Enumeration date
07/26/2007
Last updated
04/22/2020
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