Organization
THE MCLEAN HOSPITAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GOLD M.D. (CHIEF MEDICAL OFFICER)
(617) 855-2367
Entity
Organization
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1041
(617) 855-3311
(617) 855-2366
Mailing address
P.O. BOX 5-0408, WOBURN, MA 01815-0408
(617) 724-3371
(617) 724-9687
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030769
BC/BS
MA
05
—
1201175
—
MA
Enumeration date
07/11/2006
Last updated
10/27/2010
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