Individual
SALVATORE G. VISCOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BRIGHAM & WOMEN'S HOSPITAL, RADIOLOGY, BOSTON, MA 02115-6110
(617) 732-6506
Mailing address
75 FRANCIS ST, BRIGHAM & WOMEN'S HOSPITAL, RADIOLOGY, BOSTON, MA 02115-6110
(617) 732-6506
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
220739
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040891
—
MA
01
—
468889
TUFTS
MA
01
—
J27360
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
10/25/2005
Last updated
05/13/2015
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