BOSTON BREAST DIAGNOSTIC CENTER LLC NPI 1811222920

NPI Information

BOSTON BREAST DIAGNOSTIC CENTER LLC is a radiology and mammography clinic center in Wellesley, MA. BOSTON BREAST DIAGNOSTIC CENTER LLC NPI is 1811222920. The provider is registered as an organization entity type.

The provider's business location address is:

165 WORCESTER ST
WELLESLEY, MA
ZIP 02481-615
Phone: (800) 476-0577
Fax: (978) 975-3181

The provider's authorized official is Catherine Magurn .
The authorized official title is Clinic Administrator and has the following contact phone number (617) 553-5305.

The CLIA number assigned to this NPI record is 22D1104583 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2009 and was last updated on 4/8/2021.

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:

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