| NPI | 1790220705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. COPEN Sole Member 617-877-6278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 240680) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2021-03-13 |