| NPI | 1942609359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CORNWELL Medical Director 617-302-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MA 10942) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: MA 11061) |
| 261QR0200X Clinic/Center, Radiology (Licence: MA 11175) | |
| 261QR0200X Clinic/Center, Radiology (Licence: MA 11083) | |
| 261QR0200X Clinic/Center, Radiology (Licence: MA 11055) | |
| 261QR0200X Clinic/Center, Radiology (Licence: MA 11109) | |
| 261QR0200X Clinic/Center, Radiology (Licence: MA 11064) | |
| 261QR0200X Clinic/Center, Radiology (Licence: MA 11051) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |