| NPI | 1104073253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PARILLO Executive Director 508-848-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2013-02-27 |