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Organization
HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
Active
Organization
HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
Active
Other names
Pathology - 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) 667-4343
(617) 667-2943
Mailing address
375 LONGWOOD AVE STE 3, BOSTON, MA 02215-5395
(617) 632-7441
(617) 632-7570
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9759786
—
MA
Enumeration date
06/08/2006
Last updated
12/05/2024
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