in Wellesley - Diagnostic Radiology

- NPI 1568414977

is a Diagnostic Radiology in Wellesley, Massachusetts. practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for is 1568414977. The last update date is .

's current location address is 366 Washington St, Wellesley, Massachusetts. You can contact this provider via phone number 7812390033 and fax number 7812378938. The mailing address for is 366 Washington St, Wellesley, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 366 Washington St, Wellesley, Massachusetts
Phone Number 7812390033
Fax Number 7812378938
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1568414977
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 366 Washington St
City Wellesley
State Massachusetts (MA)
Post Code 248162060
Phone Number 7812390033
Fax Number 7812378938

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 44509
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6164099 MA --

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