Dr MAXIMINA A BOUTSELIS is a female medical professional, specializing in Diagnostic Radiology. She graduated in 1995 from University Of Connecticut School Of Medicine.
LUCIEN DIAGNOSTIC IMAGING INC
7 SUTHERLAND ST
ANDOVER
MA
018101410
Tel: 9787614606
| Npi | 1013946094 |
| Pac Id | 7810183969 |
| Professional Enrollment Id | I20101201000413 |
| Last Name | BOUTSELIS |
| First Name | MAXIMINA |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
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| Organization Legal Name | LUCIEN DIAGNOSTIC IMAGING INC |
| Group Practice Pac Id | 6305741307 |
| Number Of Group Practice Members | 15 |
| Line 1 Street Address | 7 SUTHERLAND ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ANDOVER |
| State | MA |
| Zip Code | 018101410 |
| Phone Number | 9787614606 |
| Hospital Affiliation Ccn 1 | 390016 |
| Hospital Affiliation Lbn 1 | JAMESON MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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