Healthcare Provider Details

I. General information

NPI: 1871562694
Provider Name (Legal Business Name): HARRINGTON MEMORIAL RADIOLOGY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SOUTH ST
SOUTHBRIDGE MA
01550-4051
US

IV. Provider business mailing address

15 CENTER ST
FAIRHAVEN MA
02719-2928
US

V. Phone/Fax

Practice location:
  • Phone: 508-765-9771
  • Fax: 508-764-9410
Mailing address:
  • Phone: 508-984-1410
  • Fax: 508-979-8981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MAZZINI BUENO
Title or Position: CHIEF RADIOLOGIST, PRESIDENT
Credential: M.D.
Phone: 508-765-9771