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Organization

HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC

Active
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Organization

HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC

Active
Other names
Neonatology - HMFP at BIDMC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXANDRA BOER KIMBALL MD (CHIEF EXECUTIVE OFFICER)
(617) 632-7441
Entity
Organization

Contact information

Practice address
330 BROOKLINE AVE, BOSTON, MA 02215
(617) 667-3276
Mailing address
375 LONGWOOD AVE STE 3, BOSTON, MA 02215-5395
(617) 632-7441
(617) 632-7570

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—

Other

Enumeration date
11/03/2006
Last updated
12/05/2024
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