Organization
NORTHAMPTON RADIOLOGIC ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH POLINO MD (PRESIDENT)
(413) 695-8367
Entity
Organization
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2101
(413) 582-2949
Mailing address
291 MOODY ST, LUDLOW, MA 01056-1246
(800) 688-6666
(413) 589-7554
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008277
NEIGHBORHOOD HEALTH PLAN
MA
01
—
0012697
AETNA
MA
01
—
1006064
MEDICAID
VT
01
—
101822800
US DEPT. OF LABOR
MA
01
—
686823
CONNECTICARE
MA
01
—
701726
TUFTS
MA
05
—
9721185
—
MA
01
—
CM0600
RAILRAOD MEDICARE
MA
Enumeration date
06/22/2006
Last updated
07/15/2020
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