Organization
BETH ISRAEL DEACONESS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETTINA SIEWERT MD (STAFF RADIOLOGIST)
(617) 754-2598
Entity
Organization
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 754-2598
(617) 754-2754
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 754-2598
(617) 754-2754
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
203716
MA
Other
Enumeration date
06/08/2006
Last updated
08/22/2020
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