Kimball, Alexandra Boer

Kimball, Alexandra Boer is an individual health care provider with primary practice located at 330 Brookline Ave , Boston MA 02215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Kimball, Alexandra Boer can be contacted via phone (617) 667-3753.

Contact Information

Primary practice address
330 Brookline Ave Boston MA 02215
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 222718 Massachusetts

Profile Details

NPI number 1073503603
LBN Legal business name Kimball, Alexandra Boer
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated May 29th, 2018 - about 8 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 1073503603 NPPES
Massachusetts Other 469829 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2083850 TUFTS HEALTH PLAN
Massachusetts Other J28105 TUFTS HEALTH PLAN

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