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NPI Code Detail

MEDICARE: NEW ENGLAND MOBILE X-RAY

MEDICARE: NEW ENGLAND MOBILE X-RAY
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
1261QR0208XMobile Radiology Clinic/Center

General Provider Information

NPI Number : 1134212061
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW ENGLAND MOBILE X-RAY
Provider Business Mailing Address
First Line : 3 CABOT PL
Second Line : UNIT 9
City : STOUGHTON
State : MA
Zip : 02072-4612
Country : US
Telephone Number : 617-341-9729
Fax Number :
Provider Business Practice Location Address
First Line : 10 WOODLAND DR
Second Line :
City : COVENTRY
State : RI
Zip : 02816-6716
Country : US
Telephone Number : 617-341-9729
Fax Number :
Authorized Official
Title or Position : CFO
Name : ALLAN E SMTIH
Credential :
Telephone Number : 617-341-9729
Provider Enumeration Date : 10/02/2006
Last Update Date : 08/22/2020

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Directions to “NEW ENGLAND MOBILE X-RAY ” Practice Location

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