Healthcare Provider Details

I. General information

NPI: 1730366352
Provider Name (Legal Business Name): CHELSEA MRI PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2008
Last Update Date: 05/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W CUMMINGS PARK SUITE 1350
WOBURN MA
01801-6372
US

IV. Provider business mailing address

800 W CUMMINGS PARK SUITE 1350
WOBURN MA
01801-6372
US

V. Phone/Fax

Practice location:
  • Phone: 781-569-6541
  • Fax: 781-569-6557
Mailing address:
  • Phone: 781-569-6541
  • Fax: 781-569-6557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT A. SANTAMARIA
Title or Position: CHEIF FINANCIAL OFFICER
Credential:
Phone: 781-569-6541