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HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC NPI 1518908136


NPI Information

NPI: 1518908136
Provider Name: HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC

Doing Business As: OB/GYN - HMFP AT BIDMC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
330 BROOKLINE AVE
BOSTON, MA
ZIP 02215
Phone: (617) 632-7441
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HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC is an obstetrics gynecology in Boston, MA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC NPI is 1518908136. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ob/gyn - Hmfp At Bidmc.

The provider's business location address is:

330 BROOKLINE AVE
BOSTON, MA
ZIP 02215
Phone: (617) 632-7441
Fax: (617) 667-5011

The provider's authorized official is Alexandra Boer Kimball .
The authorized official title is Chief Executive Officer and has the following contact phone number (617) 632-7441.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 6/15/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19782915MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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