Provider Demographics
NPI:1902084288
Name:LONGWOOD MRI SPECIALISTS INC
Entity type:Organization
Organization Name:LONGWOOD MRI SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD,PHD
Authorized Official - Phone:617-277-1614
Mailing Address - Street 1:637 WASHINGTON ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-4500
Mailing Address - Country:US
Mailing Address - Phone:617-277-1614
Mailing Address - Fax:617-277-1456
Practice Address - Street 1:637 WASHINGTON ST
Practice Address - Street 2:SUITE 103
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-4500
Practice Address - Country:US
Practice Address - Phone:617-277-1614
Practice Address - Fax:617-277-1456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty