# BETH ISRAEL DEACONESS MEDICAL CENTER

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

## Provider details

- **NPI number:** 1710125117
- **Authorized official:** DR. EILEEN REYNOLDS MD (PROGRAM DIRECTOR)
- **Authorized official phone:** (617) 667-9600

## Contact information

- **Practice address:** 330 BROOKLINE AVE, BOSTON, MA 02215-5400
- **Practice address phone:** (617) 667-9600
- **Mailing address:** 1368 COMMONWEALTH AVE APT 24, ALLSTON, MA 02134-3610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 228158 | MA | Yes |

## Other

- **Enumeration date:** 01/23/2009
- **Last updated:** 01/23/2009