Organization
MMDS OF BOSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SCOTT GRINLEY M.ED. (PRESIDENT/CEO)
(617) 244-9729
Entity
Organization
Contact information
Practice address
95 EDDY RD, SUITE 611, MANCHESTER, NH 03102-3266
(617) 244-9729
(617) 244-9730
Mailing address
48 SILVER LAKE AVE, NEWTON, MA 02458-1111
(617) 244-9729
(617) 244-9730
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
1943M
NH
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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