# HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GI Medicine - HMFP at BIDMC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225078801
- **Authorized official:** STUART ROSENBERG M.D. (PRESIDENT)
- **Authorized official phone:** (617) 632-7441

## Contact information

- **Practice address:** 330 BROOKLINE AVE, BOSTON, MA 02215-5400
- **Practice address phone:** (617) 632-7441
- **Practice address fax:** (617) 667-2767
- **Mailing address:** 400 BLUE HILL DRIVE, SUITE 2B, WESTWOOD, MA 02090-2161
- **Mailing address phone:** (617) 754-1000
- **Mailing address fax:** (617) 754-1040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 12/10/2024
