NPI Index

DR. JORDAN DIMITRAKOFF, M.D., PH.D.

Internal Medicine

Active Individual
NPI: 1225272412

Practice Address

330 BROOKLINE AVE KS-316
BETH ISRAEL DECONESS MEDICAL CENTER
Boston, MA 02215

Phone: (617) 667-2051

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes 244988 (MA)
Internal Medicine - Adolescent Medicine 207RA0000X No PENDING (MA)
Urology 208800000X No 244988 (MA)

Frequently Asked Questions

NPI 1225272412 is the National Provider Identifier for DR. JORDAN DIMITRAKOFF, M.D., PH.D., a Internal Medicine provider located in Boston, MA. This NPI was enumerated on May 1, 2009.
DR. JORDAN DIMITRAKOFF, M.D., PH.D. practices at 330 BROOKLINE AVE KS-316, BETH ISRAEL DECONESS MEDICAL CENTER, Boston, MA 02215.

Quick Facts

NPI
1225272412
Type
Individual
Enumerated
May 1, 2009
Last Updated
May 23, 2011

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