Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN D DIMITRAKOFF, M.D., PH.D.
Active Sole ProprietorInternal Medicine · BOSTON, MA
Registration Details
- NPI Number
- 1225272412
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2009 (16.976111318002 yrs)
- Last Updated
- May 23, 2011
- Licenses
-
PENDING (MA)PENDING (MA)PENDING (MA)244988 (MA)244988 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
330 BROOKLINE AVE KS-316BETH ISRAEL DECONESS MEDICAL CENTERBOSTON, MA, 02215Browse MA providers · Browse ZIP 02215
- Phone
- 6176672051
- Fax
- 6172492035
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Allergy & Immunology
- Additional Specialty
- Urology
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Urology
Other Internal Medicine Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| DR. JAN LORRAINE COOK | M.D. | 1437152139 |
| DR. LORI M BALESTRERO | MD | 1750384046 |
| DR. JAMES STEWART EVANS | MD | 1215939533 |
| RENU SONI | M.D. | 1649276585 |
| VIRGINIA S BARROW | M.D. | 1639175466 |
| DR. TIMOTHY S NAIMI | MD, MPH | 1679572291 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.