Kim, Dong Wook

Kim, Dong Wook is an individual health care provider with primary practice located at 75 Francis St , Boston MA 02115-6110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kim, Dong Wook can be contacted via phone (617) 732-5000.

Contact Information

Primary practice address
75 Francis St Boston MA 02115-6110
Phone: (617) 732-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X 247394 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 247394 Massachusetts

Profile Details

NPI number 1225299209
LBN Legal business name Kim, Dong Wook
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2008
Last updated Jun 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225299209 NPPES
Massachusetts MEDICAID 110089282A

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