Zachary, Kimon C
Zachary, Kimon C is an individual health care provider with primary practice located at 55 Fruit St Massachusetts General Hospital, Boston MA 02114-2622. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Zachary, Kimon C can be contacted via phone (617) 726-3906.Contact Information
Primary practice address
55 Fruit St Massachusetts General Hospital
Boston MA 02114-2622
Phone: (617) 726-3906
Fax: (617) 726-7653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 150761 | Massachusetts |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 150761 | Massachusetts |
Profile Details
| NPI number | 1942270269 |
|---|---|
| LBN Legal business name | Zachary, Kimon C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Aug 27th, 2012 - about 12 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 | 1942270269 | NPPES |
| Massachusetts | MEDICAID | 3177262 | |
| Massachusetts | Other | 150761 | |
| Massachusetts | Other | J18208 |
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