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Organization

DEDHAM MRI INC

Active
Other names
Open MRI of Dedham
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN VALLA (PRESIDENT)
(973) 873-9850
Entity
Organization

Contact information

Practice address
200 PROVIDENCE HWY ROUTE 1, STE 210, DEDHAM, MA 02026
(781) 329-0600
(781) 329-1713
Mailing address
1455 BROAD ST, 4TH FLOOR, BLOOMFIELD, NJ 07003
(973) 873-9889
(973) 707-1127

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528980
MA
Enumeration date
07/17/2006
Last updated
02/05/2009
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