Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 150934 | MA |
N | 207XS0117X | Orthopaedic Spine Surgeon | 150934 | MA |
NPI | 1043208119 |
---|---|
Provider Name | Dr. Saechin Kim |
First Address | Brookline, MA 02446-5248 |
Second Address | Brookline, MA 02446-5245 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 04/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09040162 | UNITED HEALTH CARE (01) | MA |
3204804 | (05) | MA |
3552256 | AETNA HMO (01) | MA |
750056 | TUFTS HEALTH PLANS (01) | MA |
7878184 | AETNA NON-HMO (01) | MA |
H09857 | (02) | MA |
J23064 | BLUE CROSS BLUE SHIELD (01) | MA |