Healthcare Provider Details

I. General information

NPI: 1427302744
Provider Name (Legal Business Name): RADIOLOGY PROFESSIONALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2012
Last Update Date: 11/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 NORFOLK AVE
SOUTH EASTON MA
02375-1157
US

IV. Provider business mailing address

5 NORFOLK AVE
SOUTH EASTON MA
02375-1157
US

V. Phone/Fax

Practice location:
  • Phone: 508-238-0600
  • Fax: 508-238-3379
Mailing address:
  • Phone: 508-238-0600
  • Fax: 508-238-3379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN JEAN ABELSON
Title or Position: PRESIDENT
Credential:
Phone: 508-238-0600