| So Dam Kim, MD | |
|
281 Tappan St Apt 3, Brookline, MA 02445-5317 | |
| (000) 000-0000 | |
| Not Available |
| Full Name | So Dam Kim |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 281 Tappan St Apt 3, Brookline, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053677260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 283220 (Massachusetts) | Primary |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Mailing Address | Practice Location Address |
|---|---|
| So Dam Kim, MD 281 Tappan St Apt 3, Brookline, MA 02445-5317 Ph: () - | So Dam Kim, MD 281 Tappan St Apt 3, Brookline, MA 02445-5317 Ph: (000) 000-0000 |
Elliot Israel, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Cypress St, Brookline, MA 02445 Phone: 857-307-0896 | |
Sandra R Richman, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Saint Paul St Apt 301, Brookline, MA 02446 Phone: 617-277-5302 | |
David A Walton, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: Brigham And Women's Hospital, 111 Cypress Street, Brookline, MA 02445 Phone: 617-582-1192 | |
Dr. Doreen F Matteson, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 48 Kent St, Suite 8, Brookline, MA 02445 Phone: 617-731-0641 | |
Charles Myron Blatt, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 Longwood Ave, Lown Cardiovascular Group, Brookline, MA 02446 Phone: 617-732-1318 | |
Amnon Wachman, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Beacon St, Brookline, MA 02446 Phone: 617-232-3464 | |
Dr. Hua Ann Jenny Lu, MD PHD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1180 Beacon St Ste 4a, Brookline, MA 02446 Phone: 617-934-8493 Fax: 617-344-3562 |