# BID-MILTON PHYSICIAN ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BETH ISRAEL DEACONESS HOSPITAL MILTON INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710862420
- **Legal business name:** BETH ISRAEL DEACONESS HOSPITAL MILTON INC
- **Authorized official:** ANGELA FENTON (VICE PRESIDENT)
- **Authorized official phone:** (617) 313-1322

## Contact information

- **Practice address:** 100 WALTER J HANNON PKWY STE 143, QUINCY, MA 02169-1105
- **Practice address phone:** (617) 615-4000
- **Practice address fax:** (617) 615-4050
- **Mailing address:** 100 WALTER J HANNON PKWY, QUINCY, MA 02169-1105

## Taxonomy

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

## Other

- **Enumeration date:** 08/11/2025
- **Last updated:** 09/23/2025