Provider Demographics
NPI:1134100894
Name:LAM, YUN KIT (MD)
Entity Type:Individual
Prefix:DR
First Name:YUN
Middle Name:KIT
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:750 WASHINGTON ST
Mailing Address - Street 2:NEMC BOX 859
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1526
Mailing Address - Country:US
Mailing Address - Phone:617-636-8871
Mailing Address - Fax:617-636-8870
Practice Address - Street 1:252 TREMONT ST
Practice Address - Street 2:1/F
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-5603
Practice Address - Country:US
Practice Address - Phone:617-636-8871
Practice Address - Fax:617-636-8870
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2009-12-10
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Provider Licenses
StateLicense IDTaxonomies
MA81549207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3140776Medicaid
MAG10326Medicare UPIN
MA3140776Medicaid