Active NPIOrganization

Pentucket Medical Radiology

Clinic/Center, Radiology in Haverhill, Massachusetts

NPI Number1790957470
Practice location
1 Parkway, Haverhill, MA 01830-6278
Fax
978-469-5378
Last updated
May 16, 2011

Pentucket Medical Radiology is a healthcare organization based in Haverhill, MA. Pentucket Medical Radiology practices in Haverhill, MA. The NPI Number for Pentucket Medical Radiology is 1790957470 and holds a License No. 09570 (MA). The current practice location address for Pentucket Medical Radiology is 1 Parkway, Haverhill, MA 01830-6278 and can be reached out via phone at 978-521-3260 and via fax at 978-469-5378.

Provider Profile Details

NPI Number
1790957470
Provider Name
Pentucket Medical Radiology
Provider Entity Type
Organization
Address
1 Parkway, Haverhill, MA 01830-6278
Phone Number
978-521-3260
Fax Number
978-469-5378
Primary Taxonomy
Clinic/Center, Radiology · 261QR0200X
Organization Subpart
Yes
Parent Organization
Pentucket Medical Associates, LLC
Authorized Official
Dr. Thomas L. Fazio, MD · President · 978-521-3200
Provider Enumeration Date
April 2, 2008
Last Update Date
May 16, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Parkway
Haverhill, MA 01830-6278
Zip
01830-6278
Phone Number
978-521-3260
Fax Number
978-469-5378
Haverhill, MA 01830Get directions →

Provider Business Mailing Address Details

Address
1 Parkway
Haverhill, MA 01830-6278
City
Haverhill
State
MA
Zip
01830-6278
Phone Number
978-521-3260
Fax Number
978-469-5378

License Information

License Number
09570
License State
MA
Taxonomy
Clinic/Center, Radiology · 261QR0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pentucket Medical Radiology?

The NPI number of Pentucket Medical Radiology is 1790957470. It was assigned on April 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Pentucket Medical Radiology?

Pentucket Medical Radiology is registered under the primary taxonomy Clinic/Center, Radiology (code 261QR0200X), licensed in MA under license number 09570.

Where does Pentucket Medical Radiology practice?

The practice location is 1 Parkway, Haverhill, MA 01830-6278. The office can be reached at 978-521-3260 (phone) or 978-469-5378 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790957470 directly on the NPPES registry website.

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