Organization
MAMMOLINK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN JOSEPH POLSELLI MD (OWNER)
(912) 667-8654
Entity
Organization
Contact information
Practice address
3982 WOODLAND RETREAT BLVD, NEW PORT RICHEY, FL 34655-4593
(844) 546-5871
(844) 546-5871
Mailing address
3982 WOODLAND RETREAT BLVD, NEW PORT RICHEY, FL 34655-4593
(844) 546-5871
(844) 546-5871
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0207X
Mobile Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
09/26/2022
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