| Beth Israel Deaconess Medical Center, Inc. | |
|
330 Brookline Ave St-207 Boston MA 02215-5400 | |
| (617) 667-5080 | |
| Not Available |
| Full Name | Beth Israel Deaconess Medical Center, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 330 Brookline Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Steven Fischer (SVP/CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6176675080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Israel Deaconess Medical Center, Inc. 330 Brookline Ave St-207 Boston MA 02215-5400 Ph: (617) 667-5080 | Beth Israel Deaconess Medical Center, Inc. 330 Brookline Ave St-207 Boston MA 02215-5400 Ph: (617) 667-5080 |
| NPI Number | 1447344437 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447344437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Massachusetts) | Primary |
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