Organization
HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON GATES NP (NURSE PRACTITIONER)
(617) 667-3940
Entity
Organization
Contact information
Practice address
330 BROOKLINE AVE # E/TCC-2, BOSTON, MA 02215
(617) 667-3940
Mailing address
ORTHOPAEDIC SURGERY 330 BROOKLINE AVE, E/TCC-2, BOSTON, MA 02215
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
78636
MA
Other
Enumeration date
08/18/2006
Last updated
12/05/2024
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