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Organization

COMMONWEALTH RADIOLOGY ASSOCIATES, INC.- LOWELL

Active
Parent organization
COMMONWEALTH RADIOLOGY ASSOCIATES, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMONWEALTH RADIOLOGY ASSOCIATES, INC.
Authorized official
DR. ALLAN IRA HOFFMAN M.D. (PRESIDENT)
(978) 741-1200
Entity
Organization

Contact information

Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6240
Mailing address
291 MOODY ST, LUDLOW, MA 01056-1246

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110067612A
MA
Enumeration date
04/26/2011
Last updated
04/26/2011
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