Doris M Kim, MD | |
670 Centre Street, Brockton, MA 02302 | |
(508) 941-7000 | |
(508) 473-8695 |
Full Name | Doris M Kim |
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Gender | Female |
Speciality | Pediatrics |
Location | 670 Centre Street, Brockton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548374713 | NPI | - | NPPES |
3155765 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 150507 (Massachusetts) | Primary |
Entity Name | Pratt Pediatric Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590511 PECOS PAC ID: 3779475371 Enrollment ID: O20040329000127 |
Entity Name | Children's Hospital Pediatric Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
Entity Name | Physicians Of Cape Cod Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679832364 PECOS PAC ID: 9638326671 Enrollment ID: O20120828000193 |
Mailing Address | Practice Location Address |
---|---|
Doris M Kim, MD 800 Washington Street Box 1013, Boston, MA 02111 Ph: (617) 636-5000 | Doris M Kim, MD 670 Centre Street, Brockton, MA 02302 Ph: (508) 941-7000 |
Mr. Jules Rako, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 830 Oak St, Ste 200w, Brockton, MA 02301 Phone: 508-586-7334 Fax: 508-583-7599 | |
Dr. Crystal L Rainville, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: One Pearl Street, Suite 2000, Brockton, MA 02301 Phone: 508-894-8577 Fax: 508-894-8578 | |
Madeleine Mbuyamba, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-583-4649 | |
Emily Slosberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 158 Pleasant Street, Brockton, MA 02301 Phone: 508-894-3363 Fax: 508-893-4649 | |
Alan B Bulotsky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 Quincy St, Brockton, MA 02302 Phone: 508-584-1890 Fax: 508-580-3332 | |
Freya S Emspak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0618 | |
Dr. Howard H Kay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 65 Libby St, Brockton, MA 02302 Phone: 508-584-6060 Fax: 508-584-4949 |