Organization
BOSTON UNIVERSITY MEDICAL CENTER RADIOLOGISTS, INC.
Active
Other names
Faculty Practice Foundation Inc Boston Univ Med CTR Radiologists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE A. SOTO M.D. (PRESIDENT)
(617) 638-6556
Entity
Organization
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-6610
(617) 638-6616
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072258E
—
MA
05
—
3080695
—
NH
Enumeration date
06/01/2006
Last updated
12/20/2023
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