# BETH ISRAEL DEACONESS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598705857
- **Authorized official:** DR. DMITRY J. RABKIN MD, PHD (CHIEF OF INTERVENTIONAL RADIOLOGY)
- **Authorized official phone:** (617) 754-2523

## Contact information

- **Practice address:** 330 BROOKLINE AVE, BOSTON, MA 02215-5400
- **Practice address phone:** (617) 754-2523
- **Practice address fax:** (617) 754-2651
- **Mailing address:** 330 BROOKLINE AVE, BOSTON, MA 02215-5400
- **Mailing address phone:** (617) 754-2523
- **Mailing address fax:** (617) 754-2651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 159731 | MA | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 07/21/2022