# NORTH BRIDGE IMAGING GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH BRIDGE IMAGING GROUP, LLC
- **Other names:** North Bridge Vein Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396055356
- **Legal business name:** NORTH BRIDGE IMAGING GROUP, LLC
- **Authorized official:** DAVID I. ROSE MD (PRESIDENT)
- **Authorized official phone:** (978) 287-3794

## Contact information

- **Practice address:** 22 MILL ST, SUITE 304, ARLINGTON, MA 02476-4784
- **Practice address phone:** (508) 946-6898
- **Practice address fax:** (508) 946-1494
- **Mailing address:** 15 CENTER ST, FAIRHAVEN, MA 02719-2928
- **Mailing address phone:** (508) 946-6898
- **Mailing address fax:** (508) 946-1494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2010
- **Last updated:** 10/22/2012
