Organization
MRI RADIOLOGISTS OF THE N SHORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DEFOSSEZ MD (PRESIDENT)
(800) 927-0002
Entity
Organization
Contact information
Practice address
68 PROSPECT ST, PEABODY, MA 01960-1605
(978) 532-8960
Mailing address
PO BOX 9132, BROOKLINE, MA 02446-9132
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9763732
—
MA
Enumeration date
12/22/2005
Last updated
08/22/2020
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