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

Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

Organization Orthopaedic Surgery Physician · NPI 1790113389

Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc is an Orthopaedic Surgery Physician in Dedham, Massachusetts. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
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

40 Allied Dr Ste 104
Dedham, MA 02026-6146
Phone: (617) 667-0227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1790113389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexandra Kimball — Chief Executive Officer · (617) 632-7441
Other names Orthopaedic Surgery-Hmfp At Bidmc
NPI enumeratedOctober 17, 2013
Last updated in NPPESDecember 14, 2018
Mailing address375 Longwood Ave Ste 3, Boston, MA 02215-5395

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