Organization
BOSTON BREAST DIAGNOSTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE MAGURN (CLINIC ADMINISTRATOR)
(617) 553-5305
Entity
Organization
Contact information
Practice address
165 WORCESTER ST, WELLESLEY, MA 02481-3615
(800) 476-0577
(978) 975-3181
Mailing address
16A ELECTRONICS AVE, DANVERS, MA 01923-3376
(978) 777-3808
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
04/08/2021
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