| NPI | 1356340871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERYL R BENACERRAF President 617-739-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2012-01-11 |