National Provider Identifier Database

HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
Critical Access


Contact Information

HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
330 BROOKLINE AVE
BOSTON, MA02215
Phone: 617-754-2339
Fax:
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X

* Indicates primary specialty

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

NPI Number 1508963901
Legal business name
LBN
HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
Authorized official ALEXANDRA KIMBALL - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 09/20/2006
Last updated 06/15/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 9753419

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.

Reviews for HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC

There are currently no reviews for HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC


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