Organization
HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN M BERKOWITZ (DIRECTOR OF DATA MANAGEMENT)
(781) 528-2835
Entity
Organization
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 754-9600
(617) 667-6406
Mailing address
330 BROOKLINE AVE, REN-8, BOSTON, MA 02215-5400
(617) 754-8782
(617) 754-8790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9753389
—
MA
Enumeration date
06/07/2006
Last updated
12/04/2024
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