# BETH ISRAEL DEACONESS MEDICAL CENTER, INC.

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

## Provider details

- **NPI number:** 1699160432
- **Authorized official:** ALEXANDER CHALPHIN M.D. (RESIDENT)
- **Authorized official phone:** (703) 507-4289

## Contact information

- **Practice address:** 908 PINE ST. APT 2F, PHILADELPHIA, PA 19107
- **Practice address phone:** (703) 507-4289
- **Mailing address:** 908 PINE ST APT 2F, PHILADELPHIA, PA 19107-6190
- **Mailing address phone:** (703) 507-4289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 03/30/2015
- **Last updated:** 03/30/2015