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

Harvardmedicalfacultyphysicians at Bethisraeldeaconessmedicalcenter In

Organization Surgery Physician · NPI 1114967791

Harvardmedicalfacultyphysicians at Bethisraeldeaconessmedicalcenter In provides Surgery Physician services in Boston, Massachusetts. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

330 Brookline Ave
Boston, MA 02215-5400
Phone: (617) 632-8366
Fax: (617) 632-9150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1114967791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexandra Kimball — Ceo And President · (617) 632-7444
Other names Ent/Surgery - Hmfp At Bidmc; Ent/Surgery - Hmfp At Bidmc
NPI enumeratedJune 8, 2006
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address375 Longwood Ave Ste 3b, Boston, MA 02215-5395

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