Organization
WAREHAM RADIOLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL MCFADDEN M.D. (PRESIDENT)
(207) 753-2251
Entity
Organization
Contact information
Practice address
43 HIGH ST, WAREHAM, MA 02571-2097
(207) 753-2251
(207) 753-2011
Mailing address
PO BOX 1324, LEBANON, NH 03766-4324
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31286
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9723765
—
MA
Enumeration date
06/23/2008
Last updated
06/23/2008
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