Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

Organization Dermatology Physician · NPI 1043250616

Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc is a Dermatology Physician in Boston, Massachusetts. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

330 Brookline Ave Masco 3
Boston, MA 02215
Phone: (617) 754-0355
Fax: (617) 754-0375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1043250616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexandra Kimball — Chief Executive Officer · (617) 632-7441
Other names Dermatology - Hmfp At Bidmc; Dermatology - Hmfp At Bidmc
NPI enumeratedJune 8, 2006
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing address375 Longwood Ave Ste 3, Boston, MA 02215-5395

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