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Organization
DEDHAM MRI INC
Active
Organization
DEDHAM MRI INC
Active
Other names
Open MRI of Dedham
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN VALLA (PRESIDENT)
(973) 873-9850
Entity
Organization
Contact information
Practice address
200 PROVIDENCE HWY ROUTE 1, STE 210, DEDHAM, MA 02026
(781) 329-0600
(781) 329-1713
Mailing address
1455 BROAD ST, 4TH FLOOR, BLOOMFIELD, NJ 07003
(973) 873-9889
(973) 707-1127
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528980
—
MA
Enumeration date
07/17/2006
Last updated
02/05/2009
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