| NPI | 1588924013 |
|---|---|
| Doing Business As | PEDIATRIC RADIOLOGY OF AMERICA |
| Entity Type | Organization |
| Authorized Contact | SHEHNAZ PANCHOLI CEO 617-868-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |