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Organization
MMDS OF BOSTON LLC
Active
Organization
MMDS OF BOSTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SCOTT GRINLEY M.ED. (PRESIDENT, CEO)
(617) 244-9729
Entity
Organization
Contact information
Practice address
48 SILVER LAKE AVE., NEWTON, MA 02458-1111
(617) 244-9729
Mailing address
48 SILVER LAKE AVE., NEWTON, MA 02458-1111
(617) 244-9729
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
2471C3402X
Radiography Radiologic Technologist
—
—
Other
Enumeration date
05/23/2007
Last updated
05/09/2014
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