Organization Name: | CARITAS MEDICAL GROUP INC. |
NPI Number: | 1760498034 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK J GIRARD (CHAIR, DEPT OF RADIOLOGY) |
Mailing Address: | 736 Cambridge St Cmp 4 Boston |
State: | MA US |
Postal Code: | 021352907 |
Phone Number: | 6177892740 |
Fax Number: | 6177796343 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |