| Organization Name: | MOO KIM, MD, PC |
| NPI Number: | 1033355169 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOO K KIM (OWNER) |
| Mailing Address: | 112 Jackson St Methuen |
| State: | MA US |
| Postal Code: | 018445045 |
| Phone Number: | 9787944800 |
| Fax Number: | 9787944801 |
| NPI Enumeration Date: | 12/18/2008 |
| NPI Last Update Date: | 12/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | 60417 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |