Provider Demographics
NPI:1740256676
Name:SAAL, A. KIM KIM (MD)
Entity type:Individual
Prefix:
First Name:A. KIM
Middle Name:KIM
Last Name:SAAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:22 ATWOOD DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-4272
Mailing Address - Country:US
Mailing Address - Phone:413-570-4900
Mailing Address - Fax:413-570-4196
Practice Address - Street 1:22 ATWOOD DR
Practice Address - Street 2:SUITE 301
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-4272
Practice Address - Country:US
Practice Address - Phone:413-570-4900
Practice Address - Fax:413-570-4196
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2015-03-27
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Provider Licenses
StateLicense IDTaxonomies
MA54454207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4035520OtherAETNA HEALTH PLAN
MA054454OtherTUFTS
MA6196713Medicaid
MAJ04414OtherBCBS
MA6196713Medicaid
MA3322OtherHARVARD PILGRIM HEALTHCARE
MA054454OtherTUFTS
MA6196713Medicaid
MA45895OtherFALLON HEALTH PLAN