Organization
ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH IS
Active
Other names
APHMFP-Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA B KIMBALL MD (PRESIDENT/CEO)
(617) 632-7441
Entity
Organization
Contact information
Practice address
100 WEST ST, NEEDHAM, MA 02494
(781) 433-2110
Mailing address
375 LONGWOOD AVE, BOSTON, MA 02215-5395
(617) 632-7441
(617) 632-7570
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
MA
2086S0129X
Vascular Surgery Physician
—
MA
208800000X
Urology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9768157
—
MA
Enumeration date
10/02/2017
Last updated
09/20/2018
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