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Organization

CARITAS CHRISTI DIAGNOSTIC SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN P FISCHER (CFO)
(617) 789-2500
Entity
Organization

Contact information

Practice address
325 N. PEARL STREET, CARITAS GOOD SAMARITAN MEDICAL CENTER, BROCKTON, MA 02301-1162
(508) 427-3408
(508) 588-2511
Mailing address
736 CAMBRIDGE ST, C/O CARITAS ST. ELIZABETH'S MEDICAL CENTER, BRIGHTON, MA 02135-2907
(617) 562-5491
(617) 562-5481

Taxonomy

Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1532189
MA
Enumeration date
05/30/2006
Last updated
08/22/2020
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