Active NPIIndividual provider

Jongwoo Kim, MD

Student in an Organized Health Care Education/Training Program in Framingham, Massachusetts

NPI Number1790570612
Practice location
115 Lincoln St, Framingham, MA 01702-6342
Fax
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Last updated
April 11, 2025

Jongwoo Kim is a Student in an Organized Health Care Education/Training Program based in Framingham, MA. Jongwoo Kim practices in Framingham, MA and has the professional credentials of MD. The NPI Number for Jongwoo Kim is 1790570612 and holds a License No. 3018303 (MA). The current practice location address for Jongwoo Kim is 115 Lincoln St, Framingham, MA 01702-6342 and can be reached out via phone at 508-383-1572.

Provider Profile Details

NPI Number
1790570612
Provider Name
Jongwoo Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
115 Lincoln St, Framingham, MA 01702-6342
Phone Number
508-383-1572
Sole Proprietor
No
Provider Enumeration Date
April 11, 2025
Last Update Date
April 11, 2025
Certification Date
April 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Lincoln St
Framingham, MA 01702-6342
Zip
01702-6342
Phone Number
508-383-1572
Framingham, MA 01702Get directions →

Provider Business Mailing Address Details

Address
115 Lincoln St
Framingham, MA 01702-6358
City
Framingham
State
MA
Zip
01702-6358

License Information

License Number
3018303
License State
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jongwoo Kim, MD?

The NPI number of Jongwoo Kim, MD is 1790570612. It was assigned on April 11, 2025 and is currently active in the NPPES registry.

What is the specialty of Jongwoo Kim, MD?

Jongwoo Kim, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MA under license number 3018303.

Where does Jongwoo Kim, MD practice?

The practice location is 115 Lincoln St, Framingham, MA 01702-6342. The office can be reached at 508-383-1572 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790570612 directly on the NPPES registry website.

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