Search › Massachusetts › 207R00000X
Jordan Dimitrakoff, M.D., PH.D
NPI 1225272412 · on the registry since 2009 · sole proprietor
Practice
- Address
- 330 Brookline Ave Ks-316
Beth Israel Deconess Medical Center
Boston, MA 02215 - Phone
- (617) 667-2051
- Fax
- (617) 249-2035
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
207RA0000X
208800000X
208800000X - Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts