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NPI Code Detail

MEDICARE: KIM DISINI ARIYABUDDHIPHONGS M.D.

MEDICARE:   KIM DISINI ARIYABUDDHIPHONGS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician227862MA

General Provider Information

NPI Number : 1114950821
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM DISINI ARIYABUDDHIPHONGS M.D.
Provider Business Mailing Address
First Line : 360 US HIGHWAY 1 BYP UNIT 102
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-7105
Country : US
Telephone Number : 603-410-6700
Fax Number : 603-319-8308
Provider Business Practice Location Address
First Line : 245 HARTFORD AVE
Second Line :
City : BELLINGHAM
State : MA
Zip : 02019-3007
Country : US
Telephone Number : 774-295-4355
Fax Number : 774-295-4880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2006
Last Update Date : 11/14/2024

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Directions to “ KIM DISINI ARIYABUDDHIPHONGS M.D.” Practice Location

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