Individual ProviderSandra KimInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address31 Massachusetts Ave, #41, Boston, MA 02115-1406(617) 888-0827PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Kim does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1720265283Provider TypeIndividualFull NameKim, SandraGenderFemaleSole ProprietorYesEnumeration Date1/28/2008Last Updated1/28/2008Contact InformationPractice LocationPractice Address31 Massachusetts Ave, #41, Boston, MA 02115-1406Phone(617) 888-0827FaxUnlisted FaxMailing LocationMailing Address31 Massachusetts Ave, #41, Boston, MA 02115-1406Phone(617) 888-0827FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense224750Massachusetts