Provider Demographics
NPI:1184615361
Name:KIM, ALBERT MYUNG (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:MYUNG
Last Name:KIM
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1400 VFW PKWY
Mailing Address - Street 2:VA BOSTON HEALTHCARE SYSTEM, CARDIOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02132-4927
Mailing Address - Country:US
Mailing Address - Phone:857-203-6840
Mailing Address - Fax:857-203-5550
Practice Address - Street 1:1400 VFW PKWY
Practice Address - Street 2:VA BOSTON HEALTHCARE SYSTEM, CARDIOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02132-4927
Practice Address - Country:US
Practice Address - Phone:857-203-6840
Practice Address - Fax:857-203-5550
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA216215207R00000X, 207RC0000X, 207RC0001X
CAA94997207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease