Organization
BETH ISRAEL DEACONESS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DEVEAU (CONTROLLER & DIRECTOR, FISCAL SERVI)
(617) 667-0003
Entity
Organization
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 677-4042
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
Taxonomy
Speciality
Code
Description
License number
State
281PC2000X
Children's Chronic Disease Hospital
Primary
—
MA
Other
Enumeration date
11/05/2008
Last updated
07/21/2022
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