Kim, Susan J
Kim, Susan J is an individual health care provider with primary practice located at 206 Mill Rd , Fairhaven MA 02719-5208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Kim, Susan J can be contacted via phone (508) 973-3000.Contact Information
Primary practice address
206 Mill Rd
Fairhaven MA 02719-5208
Phone: (508) 973-3000
Fax: (508) 973-3119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 233162 | Massachusetts |
Profile Details
| NPI number | 1891985990 |
|---|---|
| LBN Legal business name | Kim, Susan J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Apr 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891985990 | NPPES |
| Massachusetts | MEDICAID | 110077308A |
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