| CASE NUMBER | I-200-24318-472926 |
| CASE STATUS | Withdrawn |
| RECEIVED DATE | 11/13/2024 |
| DECISION DATE | 11/14/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Faculty/Staff Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2025 |
| END DATE | 12/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 600 UNICORN PARK |
| EMPLOYER ADDRESS2 | 4TH FLOOR |
| EMPLOYER CITY | Woburn |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17815282852 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | DUBOIS |
| EMPLOYER POC FIRST NAME | Ashley |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Human Resources Generalist |
| EMPLOYER POC ADDRESS1 | 600 UNICORN PARK |
| EMPLOYER POC ADDRESS2 | 4th Floor |
| EMPLOYER POC CITY | Woburn |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17815282801 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | amdubois@bidmc.harvard.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Desai |
| AGENT ATTORNEY FIRST NAME | Prasant |
| AGENT ATTORNEY MIDDLE NAME | Dhirajlal |
| AGENT ATTORNEY ADDRESS1 | 38 Third Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2129 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16174821010 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | desai@iandoli.com |
| LAWFIRM NAME BUSINESS NAME | Iandoli Desai & Cronin P.C. |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 330 Mount Auburn Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Cambridge |
| WORKSITE COUNTY | CAMBRIDGE CITY |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 2138 |
| WAGE RATE OF PAY FROM | $230,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $168,632.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2024 |
| PW SURVEY PUBLISHER | AAMC |
| PW SURVEY NAME | Custom Survey |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-01 |
