Organization
BETH ISRAEL DEACONESS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE SUSAN SHARAF LICSW (CLINICAL SOCIAL WORKER)
(617) 754-0549
Entity
Organization
Contact information
Practice address
464 HILLSIDE AVENUE, SUITE 304, NEEDHAM, MA 02494
(617) 754-0549
(617) 754-0701
Mailing address
464 HILLSIDE AVENUE, SUITE 304, NEEDHAM, MA 02494
(617) 754-0549
(617) 754-0701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
158258
MA
207R00000X
Internal Medicine Physician
Primary
72667
MA
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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