Individual
DR. KIMON C ZACHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2622
(617) 726-3906
(617) 726-7653
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-3906
(617) 726-7653
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
150761
MA
207RI0200X
Infectious Disease Physician
Primary
150761
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150761
TUFTS HEALTH PLAN
MA
05
—
3177262
—
MA
01
—
J18208
BCBS MA
MA
Enumeration date
01/26/2006
Last updated
08/27/2012
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