Unknown Individual – Diagnostic Radiology Physician, NPI 1487607693
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
400 W Cummings Pk, Birch Drive, West Cummings Park, Walnut Hill, Woburn, Middlesex County, Massachusetts, 02180, United States
SUITE 6475
WOBURN, MA 018016519
Phone: (781) 569-6541
Fax: (781) 569-6557
Type: Mailing
1076, North Main Street, Providence, Providence County, Rhode Island, 02904, United States
PROVIDENCE, RI 029045760
Phone: (401) 421-5191
Fax: (401) 421-1260
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01801)
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