Provider Demographics
NPI:1306869581
Name:RADIOLOGY ASSOCIATES OF NORWOOD INC.
Entity type:Organization
Organization Name:RADIOLOGY ASSOCIATES OF NORWOOD INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:INTERRANTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-762-8010
Mailing Address - Street 1:PO BOX 688
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-0688
Mailing Address - Country:US
Mailing Address - Phone:781-762-8010
Mailing Address - Fax:781-762-7753
Practice Address - Street 1:825 WASHINGTON ST
Practice Address - Street 2:SUITE 215
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3441
Practice Address - Country:US
Practice Address - Phone:781-762-5595
Practice Address - Fax:781-762-9966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyGroup - Single Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA800206OtherTUFTS HEALTHPLAN
MAM10836OtherALL EXCEPT MRI
MA1540432Medicaid
MA033669OtherMRI
MA9704078Medicaid
MA600028OtherHARVARDPILGRIM HEALTH
MAM10836Medicare ID - Type UnspecifiedXRAY
MA327068Medicare ID - Type UnspecifiedCT AND MRI
MA9704078Medicaid