| NPI | 1700191889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD B MARIANACCI Manager 617-383-6585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-23 |