Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access |
282NC0060X | A0[7] | Critical Access Hospital |
| NPI Number | 1558726356 |
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| LBN Legal business name | BETH ISRAEL DEACONESS MEDICAL CENTER | ||||
| Authorized official | DANIELLE MCDONALD - (NURSE PRACTITIONER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/21/2015 | ||||
| Last updated | 12/21/2015 - About 10 years ago | ||||
| Identifiers |
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