Organization
SHIELDS RADIOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN T SWERIDUK MD (MEDICAL DIRECTOR)
(800) 258-4674
Entity
Organization
Contact information
Practice address
265 WESTGATE DR STE 2, BROCKTON, MA 02301-1817
(800) 258-4574
(800) 253-7569
Mailing address
55 CHRISTY DR, BROCKTON, MA 02301-1813
(508) 897-1501
(508) 897-1599
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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