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NORTH BRIDGE IMAGING GROUP LLC NPI 1396055356


NPI Information

NPI: 1396055356
Provider Name: NORTH BRIDGE IMAGING GROUP, LLC

Doing Business As: NORTH BRIDGE VEIN CARE

Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
22 MILL ST
SUITE 304
ARLINGTON, MA
ZIP 02476
Phone: (508) 946-6898
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NORTH BRIDGE IMAGING GROUP, LLC is a vascular and interventional radiology radiology in Arlington, MA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. NORTH BRIDGE IMAGING GROUP, LLC NPI is 1396055356. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As North Bridge Vein Care.

The provider's business location address is:

22 MILL ST
SUITE 304
ARLINGTON, MA
ZIP 02476-784
Phone: (508) 946-6898
Fax: (508) 946-1494

The provider's authorized official is David I. Rose .
The authorized official title is President and has the following contact phone number (978) 287-3794.

The enumeration date for this NPI number is 10/8/2010 and was last updated on 10/22/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M21200MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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