JORDAN D DIMITRAKOFF

BOSTON, MA
NPI1225272412
Former NameJORDAN D DIMITRAKOV
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MA  244988)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MA  PENDING)
207RA0000X Internal Medicine, Adolescent Medicine
(Licence: MA  PENDING)
208800000X Urology
(Licence: MA  PENDING)
208800000X Urology
(Licence: MA  244988)
Enumeration Date2009-05-01
Last Update Date2011-05-23
Business Address
Dr. JORDAN D DIMITRAKOFF M.D., Ph.D.
330 BROOKLINE AVE KS-316 BETH ISRAEL DECONESS MEDICAL CENTER
BOSTON, MA 02215
Phone number: 617-667-2051
Mailing Address
Dr. JORDAN D DIMITRAKOFF M.D., Ph.D.
330 BROOKLINE AVE KS-316 BETH ISRAEL DECONESS MEDICAL CENTER
BOSTON, MA 02215
Phone number: 617-667-2051