MASSACHUSETTS MOBILE PET PC
Ambulatory Health at Highland Ave, Plum Island, MA

License number
Massachusetts 44-0373
Category
Ambulatory Health
Type
Radiology, Mobile
Owner
Name: MARK R TAYLOR
Title: CEO
Phone: (978) 687-2321
Address
Address 2
25 Highland Ave, Plum Island, MA 01950
354 Merrimack St, Lawrence, MA 01843
National Provider ID: 1861448797
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MASSACHUSETTS MOBILE PET, PC

354 Merrimack St, Lawrence, MA 01843

Registration:
Aug 1, 2002
State ID:
000822748
Business type:
Professional Corporation
Directors:
Howard M. Gardner M.d (President), 174 Haverhill St, Andover, MA 01810 (Physical),Mark R. Taylor (Ceo), 2 Pomfret Rd, Chelmsford, MA 01824 (Physical),Chandrakant Patel M.d (Director), 3055 Hbr Dr, Fort Lauderdale, FL 33316 (Physical),...
Agent:
Mark R. Taylor, Esq,354 Merrimack St, Lawrence, MA 01843 (Physical)

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