# AURORA BREAST MRI AT BEVERLY HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124291729
- **Authorized official:** ROBIN GOSSELIN (BILLING MANAGER)
- **Authorized official phone:** (978) 975-7530

## Contact information

- **Practice address:** 480 MAPLE ST, DANVERS, MA 01923-4061
- **Practice address phone:** (978) 975-7530
- **Practice address fax:** (978) 975-3181
- **Mailing address:** 39 HIGH ST, NORTH ANDOVER, MA 01845-2637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | MA | Yes |

## Other

- **Enumeration date:** 04/04/2008
- **Last updated:** 02/27/2009