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Organization

BETH ISRAEL DEACONESS HOSPITAL MILTON INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHEILAH RANGAVIZ (CHIEF FINANCIAL OFFICER)
(617) 313-1350
Entity
Organization

Contact information

Practice address
199 REEDSDALE RD, MILTON, MA 02186-3926
(617) 313-1214
(617) 313-1567
Mailing address
199 REEDSDALE RD, MILTON, MA 02186-3926
(617) 313-1214
(617) 313-1567

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
282N00000X
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000489
MA
05
1201263
MA
01
900098
HARVARD PILGRIM PROV #
MA
01
900371
TUFTS OP PROV #
MA
01
903750
TUFTS INPT PROV #
MA
01
MIL22220108
BLUE CROSS OF MA
MA
Enumeration date
10/04/2006
Last updated
12/12/2025
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