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Dr. Jonathan Youngsuk Kim, MD
Student in an Organized Health Care Education/Training Program in Concord, Massachusetts
NPI 1205123080

Jonathan Youngsuk Kim is a Student in an Organized Health Care Education/Training Program based in Concord, MA. Jonathan Youngsuk Kim practices in Concord, MA and has the professional credentials of MD. The NPI Number for Jonathan Youngsuk Kim is 1205123080 and holds a License No. 258523 (Massachusetts).

The current practice location address for Jonathan Youngsuk Kim is 133 Old Road To 9 Acre Cor, Concord, MA and can be reached out via phone at 978-287-3794.

Location: 133 Old Road To 9 Acre Cor, Concord, MA, 01742-4159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205123080
Provider Name
Jonathan Youngsuk Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
133 Old Road To 9 Acre Cor, Concord, MA, 01742-4159
Phone Number
978-287-3794
Fax Number
Provider Enumeration Date
06/30/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110125592A 05 MA
institution
Provider Business Practice Location Address Details
Address
133 Old Road To 9 Acre Cor
City
Concord
State
Massachusetts
Zip
01742-4159
Phone Number
978-287-3794
Fax Number
person
Provider Business Mailing Address Details
Address
133 Old Road To 9 Acre Cor
City
Concord
State
Massachusetts
Zip
01742-4159
Phone Number
978-287-3794
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
258523 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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