Organization Name: | NORTHSTAR IMAGING |
NPI Number: | 1437429305 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREW P CHORZEMPA (PRESIDENT) |
Mailing Address: | 66 Dwight Rd Suite 4 Longmeadow |
State: | MA US |
Postal Code: | 011061889 |
Phone Number: | 8006205205 |
Fax Number: | 8006205205 |
NPI Enumeration Date: | 01/09/2012 |
NPI Last Update Date: | 01/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0208X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mobile |
Taxonomy Definition: |