Organization
DDM RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANFORD SMOOT MD (PRESIDENT)
(781) 258-0197
Entity
Organization
Contact information
Practice address
18 HOLMES RD, LEXINGTON, MA 02420-1917
(781) 258-0197
(781) 862-5946
Mailing address
18 HOLMES RD, LEXINGTON, MA 02420-1917
(781) 258-0197
(781) 862-5946
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
51966
MA
Other
Enumeration date
12/21/2014
Last updated
12/21/2014
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