Organization · Type 2 NPI

Beth Israel Deaconess Medical Cenetr

Community Health Clinic/Center · Dorchester, MA

NPI number 1790804623 Active

Practice location

230 Bowdoin St
Dorchester, MA 02122-1817

Fax (617) 754-0230

Mailing address

55 Manor St
Dorchester, MA 02122-2468

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center Primary 261QC1500X191735 (MA)

Community Health Clinic/Center: Definition to come...

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About NPI 1790804623

Beth Israel Deaconess Medical Cenetr's National Provider Identifier is 1790804623, issued on Mar 29, 2007. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Dorchester, MA. The record was last updated on Aug 22, 2020.