Organization
BETH ISRAEL DEACONESS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. S. NAHUM GOLDBERG MD (STAFF RADIOLOGIST)
(617) 754-2598
Entity
Organization
Contact information
Practice address
330 BROOKLINE AVE, CCW 308, BOSTON, MA 02215-5400
(617) 754-2598
(617) 754-2754
Mailing address
330 BROOKLINE AVE, CCW 308, BOSTON, MA 02215-5400
(617) 754-2598
(617) 754-2754
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
153967
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3166902
—
MA
Enumeration date
06/07/2006
Last updated
10/29/2007
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