Individual
BORAMI SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 643-9745
Mailing address
197 KENT ST APT 34, BROOKLINE, MA 02446-5424
(925) 708-0553
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
267499
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
256702
MA
Other
Enumeration date
06/19/2013
Last updated
09/09/2024
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