Organization
SAINT VINCENT RADIOLOGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A BADER (PRESIDENT)
(978) 939-2035
Entity
Organization
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-5000
(978) 939-2039
Mailing address
PO BOX 824, INDIANAPOLIS, IN 46206-0824
(978) 939-2035
(978) 939-2039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
MA
207U00000X
Nuclear Medicine Physician
—
MA
2085N0700X
Neuroradiology Physician
—
MA
2085R0202X
Diagnostic Radiology Physician
Primary
—
MA
2085R0204X
Vascular & Interventional Radiology Physician
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49925
FALLON ATHOL
MA
01
—
600428
HARVARD PILGRIM HEALTH PL
MA
01
—
6070
FALLON COMMUNITY HEALTH P
MA
01
—
62965
AETNA
MA
01
—
800185
TUFTS HEALTH PLAN
MA
01
—
9703284
HEALTHY START
MA
05
—
9703284
—
MA
01
—
CK1296
RAILROAD MEDICARE
MA
Enumeration date
06/08/2006
Last updated
02/02/2024
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