Faculty Practice Foundation Inc Boston Univ Med Ctr Radiologists

NPI 1134166945 - Radiology - 2085B0100X

NPI Details
NPI 1134166945
Enumeration Date 06/01/2006
Last Updated 01/08/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JORGE A. JORGE
Position PRESIDENT
Phone (617) 638-6610
Fax (617) 638-6616
Practice Location
88 E NEWTON ST
BOSTON MA, 02118-2308, US
Phone (617) 638-6610
Fax (617) 638-6616
Business Location
720 HARRISON AVE
DOB 503
BOSTON MA, 02118-2371, US
Phone (617) 414-5405
Fax (617) 414-6031
Toxanomy
Taxonomy Code 2085B0100X
License State
License Number
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According to our database, Faculty Practice Foundation Inc Boston Univ Med Ctr Radiologists NPI is 1134166945, taxonomy code is 2085B0100X Faculty Practice Foundation Inc Boston Univ Med Ctr Radiologists physically located at 88 E Newton St, Boston MA, 02118-2308. NPI Number 1033115704 has the healthcare provider type.

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1134166945 NPI number is provided on an as is basis without warranty of any kind. 1134166945 is maintained by the National Plan & Provider Enumeration System. The contents of Faculty Practice Foundation Inc Boston Univ Med Ctr Radiologists are for informational purposes only.