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Individual

PRISCILLA J SLANETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-6610
(617) 638-6616
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2371

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
150870
MA
2085R0202X
Diagnostic Radiology Physician
35172
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110057242A
MA
05
3117611
NH
Enumeration date
03/08/2006
Last updated
04/08/2026
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