Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr INC
NPI #1154435915 in Boston, Massachusetts
Provider Information
- NPI Number
- 1154435915
- Entity Type
- Organization
- Organization Name
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr INC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Aug 18, 2006
- Last Updated
- Dec 5, 2024
Practice Location
- Address
- 330 BROOKLINE AVE # E/TCC-2
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02215
- Phone
- (617) 667-3940
Authorized Official
- Name
- MS. SHARON GATES, NP
- Title
- NURSE PRACTITIONER
- Phone
- (617) 667-3940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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