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NPI Code Detail

MEDICARE: WEYMOUTH MRI PC

MEDICARE: WEYMOUTH MRI PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/CenterMA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386832723
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEYMOUTH MRI PC
Provider Business Mailing Address
First Line : 3 CEDARHILL PARK DRIVE
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-1905
Country : US
Telephone Number : 508-888-2270
Fax Number : 508-888-2544
Provider Business Practice Location Address
First Line : 3 CEDARHILL PARK DR
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-2226
Country : US
Telephone Number : 508-888-2270
Fax Number : 508-888-2544
Authorized Official
Title or Position : PRESIDENT
Name : MR. MARTIN FOSTER
Credential : ESQUIRE
Telephone Number : 781-331-9880
Provider Enumeration Date : 10/11/2007
Last Update Date : 10/11/2007

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Directions to “WEYMOUTH MRI PC ” Practice Location

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