Organization
FOREST PARK MRI ASSOCIATES, PC
Active
Other names
The MRI Center of Woburn
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A. SANTAMARIA (CHIEF FINANCIAL OFFICER)
(781) 569-6541
Entity
Organization
Contact information
Practice address
800 W CUMMINGS PARK, SUITE 1150, WOBURN, MA 01801-6372
(781) 932-9895
(781) 932-8619
Mailing address
800 W CUMMINGS PARK, SUITE 1350, WOBURN, MA 01801-6372
(781) 569-6541
(781) 569-6557
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M15400
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS
MA
Enumeration date
01/25/2008
Last updated
12/18/2008
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