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

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harvard Medical Faculty Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679397913
- **Authorized official:** ALEXANDRA BOER KIMBALL MD (PRESIDENT AND CEO)
- **Authorized official phone:** (617) 632-7443

## Contact information

- **Practice address:** 330 BROOKLINE AVE STE 3, BOSTON, MA 02215-5400
- **Practice address phone:** (617) 667-2906
- **Mailing address:** 375 LONGWOOD AVE STE 3, BOSTON, MA 02215-5395
- **Mailing address phone:** (781) 632-7443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2024
- **Last updated:** 11/20/2024