Organization · NPI-2
Wachusett Radiology, INC.
Radiology, Diagnostic Radiology · Gardner, MA
NPI number1528090131
StatusActive
Last updated in NPPESNov 30, 2023
Details
- NPI
- 1528090131
- Entity type
- Organization (NPI-2)
- Legal business name
- Wachusett Radiology, INC.
- Organization subpart
- No
- Enumeration date
- Jul 6, 2006
- Certification date
- Nov 30, 2023
- Last updated
- Nov 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
| 2085R0203X | Radiology, Therapeutic Radiology | – | – | |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | – | – |
Practice location
242 Green StRadiology Department
Gardner, MA 01440-1336
Phone 997-863-0623 · Fax 978-630-6353
Mailing address
10 Little Brook RdWest Wareham, MA 02576-1222
Phone 800-841-5200 · Fax 508-273-1241
Authorized official
Laura Chen
President
9786327383
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