Organization
HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR, INC
Active
Organization
HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR, INC
Active
Other names
Neurology - HMFP at BIDMC
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA BOER KIMBALL MD (CEO AND PRESIDENT)
(617) 632-7444
Entity
Organization
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 632-7441
(617) 667-2987
Mailing address
375 LONGWOOD AVE STE 3B, BOSTON, MA 02215-5395
(617) 632-7444
(617) 632-7570
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9782931
—
MA
Enumeration date
06/07/2006
Last updated
09/20/2018
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