Organization
BETH ISRAEL DEACONESS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EILEEN REYNOLDS MD (PROGRAM DIRECTOR)
(617) 667-9600
Entity
Organization
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-9600
Mailing address
1368 COMMONWEALTH AVE APT 24, ALLSTON, MA 02134-3610
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
228158
MA
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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