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NPI Profile for PROVIDENCE DIAGNOSTIC IMAGING INC in SPRINGFIELD, MA.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Body Imaging |
2085B0100X | |||
Diagnostic Ultrasound |
2085U0001X | |||
Neuroradiology |
2085N0700X | |||
Nuclear Radiology |
2085N0904X | |||
Vascular & Interventional Radiology |
2085R0204X | 94 | Physician/Interventional Radiology |
| NPI Number | 1609978170 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/03/2006 | |
| Last updated | 07/01/2015 - About 11 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PROVIDENCE DIAGNOSTIC IMAGING, INC.