Organization
MAGELLAN RADIOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A. GREENSTEIN (PRESIDENT)
(508) 427-2326
Entity
Organization
Contact information
Practice address
795 MIDDLE ST, FALL RIVER, MA 02721-1733
(508) 675-5685
(508) 675-5636
Mailing address
235 N PEARL ST, C/O JULIENE FRANCO, RADIOLOGY DEPARTMENT, BROCKTON, MA 02301-1794
(508) 427-2326
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9728791
—
MA
Enumeration date
08/31/2006
Last updated
08/22/2020
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