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Organization

CAREWELL RADIOLOGY GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN CORNWELL (MEDICAL DIRECTOR)
(617) 302-4194
Entity
Organization

Contact information

Practice address
2 ADAMS PL, SUITE 305, QUINCY, MA 02169-7456
(617) 302-4194
Mailing address
2 ADAMS PL, SUITE 305, QUINCY, MA 02169-7456
(617) 302-4194

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
10942
MA
261QR0200X
Radiology Clinic/Center
11051
MA
261QR0200X
Radiology Clinic/Center
11055
MA
261QR0200X
Radiology Clinic/Center
11061
MA
261QR0200X
Radiology Clinic/Center
11064
MA
261QR0200X
Radiology Clinic/Center
11083
MA
261QR0200X
Radiology Clinic/Center
11109
MA
261QR0200X
Radiology Clinic/Center
11175
MA

Other

Enumeration date
08/21/2014
Last updated
08/21/2014
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