BETH ISRAEL DEACONESS MEDICAL CENTER NPI 1205900354

NPI Information

BETH ISRAEL DEACONESS MEDICAL CENTER is a clinic center in Boston, MA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BETH ISRAEL DEACONESS MEDICAL CENTER NPI is 1205900354. The provider is registered as an organization entity type.

The provider's business location address is:

330 BROOKLINE AVE
HEALTHCARE ASSOCIATES, SHAPIRO 6TH FLOOR
BOSTON, MA
ZIP 02215-400
Phone: (617) 667-9600
Fax: (617) 667-9620

The provider's authorized official is Russell Phillips .
The authorized official title is Division Chief and has the following contact phone number (617) 667-4916.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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