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1679397913 NPI number — HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC

NPI Number: 1679397913
Health Care Provider/Practitioner: HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC

Information about “1679397913” NPI (HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC) exists in 1679397913 in HTML format HTML  |  1679397913 in plain Text format TXT  |  1679397913 in PDF (Portable Document Format) PDF  |  1679397913 in an XML format XML  formats.

NPI Number : 1679397913 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679397913",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "375 LONGWOOD AVE STE 3",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOSTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02215-5395",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "781-632-7443",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "330 BROOKLINE AVE STE 3",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOSTON",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02215-5400",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "617-667-2906",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/13/2024",
    "LastUpdateDate": "11/20/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KIMBALL",
    "AuthorizedOfficialFirstName": "ALEXANDRA",
    "AuthorizedOfficialMiddleName": "BOER",
    "AuthorizedOfficialTitle": "PRESIDENT AND CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "617-632-7443",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM1300X",
        "TaxonomyName": "Multi-Specialty Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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