NPI 1225171630

Evergreen Valley Medical, PC

Organisation Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Wrentham, MA

Practice location

Address: 170 Tilting Rock Rd, Wrentham, MA 02093-1358
Phone: (508) 930-7659
Mailing address: PO Box 511, Wrentham, MA 02093-0511

Authorised official

Name: Michael Fagien
Title: Owner
Phone: (508) 930-7659

Registered specialties

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary

Suppliers Taxonomy 335V00000X

Other Portable X-ray and/or Other Portable Diagnostic Imaging Supplier providers in Massachusetts →

Registry record

NPI: 1225171630
Entity type: Organization
NPI issued: 15 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.