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Organization

HARRINGTON MEMORIAL RADIOLOGY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAZZINI BUENO M.D. (CHIEF RADIOLOGIST, PRESIDENT)
(508) 765-9771
Entity
Organization

Contact information

Practice address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
(508) 765-9771
(508) 764-9410
Mailing address
15 CENTER ST, FAIRHAVEN, MA 02719-2928
(508) 984-1410
(508) 979-8981

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
2085R0202X
Diagnostic Radiology Physician
2085U0001X
Diagnostic Ultrasound Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38408
FALLON COMMUNITY HLTH PLA
MA
01
680472
TUFTS HEALTH PLAN
MA
05
9785086
MA
01
M17187
BLUE SHIELD
MA
Enumeration date
03/15/2006
Last updated
09/11/2025
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