| NPI | 1619774908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M FONTE Manager 617-290-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085N0700X | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |