Organization
BIH RADIOLOGIC FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN B KURSKAL M.D. (CHIEF OF RADIOLOGY)
(617) 754-2519
Entity
Organization
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-9553
Mailing address
400 BLUE HILL DRIVE, SUITE 2B, WESTWOOD, MA 02090-2161
(617) 754-1000
(617) 754-1040
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085R0205X
Radiological Physics Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1542141
—
MA
Enumeration date
06/23/2006
Last updated
04/30/2010
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