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Organization

WACHUSETT RADIOLOGY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA CHEN MD (PRESIDENT)
(978) 632-7383
Entity
Organization

Contact information

Practice address
242 GREEN ST, RADIOLOGY DEPARTMENT, GARDNER, MA 01440-1336
(997) 863-0623
(978) 630-6353
Mailing address
10 LITTLE BROOK RD, WEST WAREHAM, MA 02576-1222
(800) 841-5200
(508) 273-1241

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2085R0203X
Therapeutic Radiology Physician
2085R0204X
Vascular & Interventional Radiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M11539
MEDICARE PTAN
MA
Enumeration date
07/06/2006
Last updated
11/30/2023
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