| Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | |
|
330 Brookline Ave Ste 3 Boston MA 02215-5400 | |
| (617) 667-2906 | |
| Not Available |
| Full Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 330 Brookline Ave Ste 3, Boston, Massachusetts |
| Authorized Official Name and Position | Alexandra Boer Kimball (PRESIDENT AND CEO) |
| Authorized Official Contact | 6176327443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc 375 Longwood Ave Ste 3 Boston MA 02215-5395 Ph: (781) 632-7443 | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc 330 Brookline Ave Ste 3 Boston MA 02215-5400 Ph: (617) 667-2906 |
| NPI Number | 1679397913 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679397913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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