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Organization

HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CE

Active
Other names
Radiology - HMFP at BIDMC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXANDRA BOER KIMBALL MD (CHIEF EXECUTIVE OFFICER)
(617) 632-7441
Entity
Organization

Contact information

Practice address
330 BROOKLINE AVE, BOSTON, MA 02215
(617) 632-7441
(617) 667-2601
Mailing address
375 LONGWOOD AVE STE 3, BOSTON, MA 02215-5395
(617) 632-7441
(617) 632-7570

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
2085N0700X
Neuroradiology Physician
2085R0202X
Diagnostic Radiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9753397
MA
Enumeration date
06/08/2006
Last updated
09/26/2025
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