Organization
NORTH SHORE RADIOLOGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE J MATTHEWS (BUSINESS MANAGER)
(800) 208-7069
Entity
Organization
Contact information
Practice address
200 UNICORN PARK DRIVE, SUITE 402, WOBURN, MA 01801
(603) 943-5580
(603) 717-7445
Mailing address
PO BOX 6750, PAYMENT REMITTACE, CORRESPONDENCE AND CREDENTIALING, PORTSMOUTH, NH 03802-6750
(800) 208-7069
(610) 956-0009
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9714847
—
MA
Enumeration date
04/18/2006
Last updated
09/02/2016
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