| NPI | 1194349936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSSEF H MINA Manager 508-333-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2020-06-06 |
| Last Update Date | 2023-06-06 |