Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr INC

NPI #1043250616 in Boston, Massachusetts

Provider Information

NPI Number: 1043250616
Entity Type: Organization
Organization Name: Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr INC
Primary Specialty: Dermatology
Enumeration Date: Jun 8, 2006
Last Updated: Nov 20, 2024

Practice Location

Address: 330 BROOKLINE AVE
Address 2: MASCO 3
City: Boston
State: Massachusetts
ZIP Code: 02215
Phone: (617) 754-0355

Authorized Official

Name: DR. ALEXANDRA BOER KIMBALL, MD
Title: CHIEF EXECUTIVE OFFICER
Phone: (617) 632-7441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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