Organization
UMASS MEMORIAL RADIOLOGY PHYS SERV
Active
Other names
UMASS Memorial Physicians Service Fund
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE STREETER CFO (VICE PRESIDENT, FINANCE)
(508) 334-0311
Entity
Organization
Contact information
Practice address
55 LAKE AVE N # S2-824, RADIOLOGY DEPARTMENT ADMINISTRATION, WORCESTER, MA 01655-0002
(508) 334-7755
(508) 856-4910
Mailing address
2527 CRANBERRY HWY, WAREHAM, MA 02571-1046
(800) 841-5200
(508) 273-1241
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9724061
—
MA
Enumeration date
05/18/2006
Last updated
04/27/2015
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