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Organization
BETH ISRAEL DEACONESS MEDICAL CENTER
Active
Organization
BETH ISRAEL DEACONESS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EILEEN REYNOLDS MD (PROGRAM DIRECTOR)
(617) 667-9600
Entity
Organization
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-9600
Mailing address
1368 COMMONWEALTH AVE APT 24, ALLSTON, MA 02134-3610
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
228158
MA
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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