Form Health Associates (Ma), P.C.

LBN: Form Health Associates (Ma), P.C.
Form Health Associates (Ma), P.C. is an health care organization with primary practice located at 179 Lincoln St Ste 404 , Boston MA 02111-2425. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is the primary health care specialty. Form Health Associates (Ma), P.C. can be contacted via phone (617) 505-1520, or through Kim, Nam H via phone (617) 505-1520.

Contact Information

Primary practice address
179 Lincoln St Ste 404 Boston MA 02111-2425
Phone: (617) 505-1520
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Nam H Doctor of Medicine (MD)
Phone: (617) 505-1520

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X

Profile Details

NPI number 1386260594
LBN Legal business name Form Health Associates (Ma), P.C.
DBA Doing business as
Authorized official Kim, Nam H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2020
Last updated Feb 24th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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