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Physicians Radiology Body Imaging

Provider NPI: 1265464598

Organization Information:
Organization is not Subpart
Authorized Official:  WILLIAM C JOHNSTON  CFO  617-713-2263

Practice Location:
Tel: 617-732-6273  Fax: 617-278-6940

Business Mailing Address:
Tel: 617-582-1200  Fax: 617-713-2283

NPI Information:
NPI: 1265464598
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Body Imaging

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2085R0202X





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