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Individual

DR. RICHARD SACKNOFF

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST, WHT 2, RADIOLOGICAL ASSOCIATES, BOSTON, MA 02114-2696
(617) 726-3090
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42737
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0143413
MA
01
724087
TUFTS HEALTH PLAN
MA
01
C05294
BCBS MA
MA
Enumeration date
02/07/2006
Last updated
07/08/2007
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