Organization
BETH ISRAEL DEACONESS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL PHILLIPS MD (DIVISION CHIEF)
(617) 667-4916
Entity
Organization
Contact information
Practice address
330 BROOKLINE AVE, HEALTHCARE ASSOCIATES, SHAPIRO 6TH FLOOR, BOSTON, MA 02215-5400
(617) 667-9600
(617) 667-9620
Mailing address
330 BROOKLINE AVE, HEALTHCARE ASSOCIATES, SHAPIRO 6TH FLOOR, BOSTON, MA 02215-5400
(617) 667-9600
(617) 667-9620
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
73356
MA
282N00000X
General Acute Care Hospital
73356
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3070191
—
MA
Enumeration date
11/20/2006
Last updated
09/11/2025
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