Organization
HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
Active
Other names
Orthopaedic Surgery-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
40 ALLIED DR STE 104, DEDHAM, MA 02026-6146
(617) 667-0227
Mailing address
375 LONGWOOD AVE STE 3, BOSTON, MA 02215-5395
(617) 632-7441
(617) 632-7570
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/17/2013
Last updated
12/14/2018
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