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Contact Information

HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR, INC
330 BROOKLINE AVE
MASCO 3
BOSTON, MA02215
 Phone: 617-667-5088
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC · (Female)

NPI Number 1952327066
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2006
Last updated 05/29/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 9753419
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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