Organization · Type 2 NPI
Harvard Medical Faculty Phys at Beth Israel Deaconess Med CTR Inc
Vascular Surgery Physician · Boston, MA
NPI number
1891736310
Active
Practice location
330 Brookline Ave
Boston, MA 02215
Mailing address
375 Longwood Ave Ste 3B
Boston, MA 02215-5395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1891736310
Harvard Medical Faculty Phys at Beth Israel Deaconess Med CTR Inc's National Provider Identifier is 1891736310, issued on Jun 8, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Boston, MA. The record was last updated on Sep 20, 2018.