Beth Israel Deaconess Medical Cenetr

Specialty details in registry · Dorchester, MA

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At a glance

230 Bowdoin St, Dorchester, MA 02122-1817

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

230 Bowdoin St
Dorchester, MA 02122-1817
Professional details: NPI, taxonomy & registry record
NPI1790804623
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QC1500X
Enumeration date
Mar 29, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QC1500X · Primary

License reported: 191735 MA

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

Practice location

230 Bowdoin St
Dorchester, MA 02122-1817
Phone
(617) 754-0100
Fax
(617) 754-0230
Mailing address
55 MANOR ST

DORCHESTER, MA 021222468
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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