Pentucket Medical Radiology

NPI #1790957470 in Haverhill, Massachusetts

Provider Information

NPI Number
1790957470
Entity Type
Organization
Organization Name
Pentucket Medical Radiology
Subpart
Yes (part of a larger organization)
Parent Organization
PENTUCKET MEDICAL ASSOCIATES, LLC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Apr 2, 2008
Last Updated
May 16, 2011

Practice Location

Address
1 PARKWAY
ZIP Code
01830-6278
Phone
(978) 521-3260

Authorized Official

Name
DR. THOMAS L. FAZIO, MD
Title
PRESIDENT
Phone
(978) 521-3200

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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