National Provider Identifier Database

BETH ISRAEL DEACONESS MEDICAL CENTER
Critical Access


Contact Information

BETH ISRAEL DEACONESS MEDICAL CENTER
330 BROOKLINE AVE SHAPIRO 9
BETH ISRAEL DEACONESS MEDICAL CENTER
BOSTON, MA02215
Phone: 617-667-1901
Fax: 617-667-2518
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X

* Indicates primary specialty

NPI Profile & details for BETH ISRAEL DEACONESS MEDICAL CENTER

NPI Number 1558726356
Legal business name
LBN
BETH ISRAEL DEACONESS MEDICAL CENTER
Authorized official DANIELLE MCDONALD - (NURSE PRACTITIONER)
Entity Organization
Organization subpart No
Enumeration date 12/21/2015
Last updated 12/21/2015 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: RN185491

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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