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1255322897
JOHN TIMOTHY LYSACK
BOSTON, MA
NPI
1255322897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MA 224049)
Enumeration Date
2005-11-02
Last Update Date
2007-07-08
Business Address
Dr. JOHN TIMOTHY LYSACK MD
55 FRUIT ST GRB 2
BOSTON, MA 02114-2621
Phone number: 617-726-8320
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Mailing Address
Dr. JOHN TIMOTHY LYSACK MD
PO BOX 9142
CHARLESTOWN, MA 02129-9142
Phone number: 617-724-0287
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