# MMDS OF BOSTON

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

## Provider details

- **NPI number:** 1295106136
- **Authorized official:** MR. RICHARD SCOTT GRINLEY M.ED. (PRESIDENT/CEO)
- **Authorized official phone:** (617) 244-9729

## Contact information

- **Practice address:** 95 EDDY RD, SUITE 611, MANCHESTER, NH 03102-3266
- **Practice address phone:** (617) 244-9729
- **Practice address fax:** (617) 244-9730
- **Mailing address:** 48 SILVER LAKE AVE, NEWTON, MA 02458-1111
- **Mailing address phone:** (617) 244-9729
- **Mailing address fax:** (617) 244-9730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1943M | NH | Yes |

## Other

- **Enumeration date:** 10/19/2015
- **Last updated:** 10/19/2015