Harvard Medical Faculty Physicians At Beth Israel Deaconess Medical Ce

Specialty details in registry · Boston, MA

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At a glance

330 Brookline Ave, Boston, MA 02215

NPPES record updated Sep 26, 2025. Public records can lag behind changes at a practice.

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Practice location

330 Brookline Ave
Boston, MA 02215
Professional details: NPI, taxonomy & registry record
NPI1275574899
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
2085B0100X
Enumeration date
Jun 8, 2006
Record updated
Sep 26, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

2085B0100X · Primary

Specialty details in registry

2085N0700X

Specialty details in registry

2085R0202X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

330 Brookline Ave
Boston, MA 02215
Phone
(617) 632-7441
Fax
(617) 667-2601
Mailing address
375 LONGWOOD AVE STE 3

BOSTON, MA 022155395
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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