Organization
BETH ISRAEL DEACONESS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN REYNOLDS MD (PROGRAM DIRECTOR)
(617) 667-7000
Entity
Organization
Contact information
Practice address
400 BROOKLINE AVE, APARTMENT 12D, BOSTON, MA 02215-5408
(626) 203-1917
Mailing address
400 BROOKLINE AVE, APARTMENT 12D, BOSTON, MA 02215-5408
(626) 203-1917
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
MA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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