Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

Organization Dermatology Physician · NPI 1043250616

Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc provides Dermatology Physician services in Boston, Massachusetts. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

330 Brookline Ave Masco 3
Boston, MA 02215
Phone: (617) 754-0355
Fax: (617) 754-0375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1043250616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexandra Kimball — Chief Executive Officer · (617) 632-7441
Other names Dermatology - Hmfp At Bidmc; Dermatology - Hmfp At Bidmc
NPI enumeratedJune 8, 2006
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing address375 Longwood Ave Ste 3, Boston, MA 02215-5395

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