Evergreen Valley Medical, PC

Organization Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · NPI 1225171630

Evergreen Valley Medical, PC is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Wrentham, Massachusetts. Registered with an NPI since 2007.

In the registry since: 2007

What do these letters mean?

PC — Professional corporation: A form of business registration, not a clinical qualification.

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Practice location Address checks out

170 Tilting Rock Rd
Wrentham, MA 02093-1358
Phone: (508) 930-7659

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (primary)	Taxonomy 335V00000X

Record details

NPI number	1225171630
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Michael Fagien — Owner · (508) 930-7659
NPI enumerated	February 15, 2007
Last updated in NPPES	August 22, 2020
Mailing address	Po Box 511, Wrentham, MA 02093-0511