Dermatology - Hmfp At Bidmc

LBN: Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Dermatology - Hmfp At Bidmc is an health care organization with primary practice located at 330 Brookline Ave Masco 3, Boston MA 02215. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc can be contacted via phone (617) 754-0355, or through Kimball, Alexandra Boer via phone (617) 632-7441.

Contact Information

Primary practice address
330 Brookline Ave Masco 3 Boston MA 02215
Fax: (617) 754-0375
Website:
Authorized official contact:
Name: Kimball, Alexandra Boer Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1043250616
LBN Legal business name Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
DBA Doing business as Dermatology - Hmfp At Bidmc
Authorized official Kimball, Alexandra Boer Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Jun 15th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043250616 NPPES
Massachusetts MEDICAID 9782907

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