Individual provider · Type 1 NPI

John Timothy Lysack, MD

Diagnostic Radiology Physician · Boston, MA

NPI number 1255322897 Active

Practice location

55 Fruit St, Grb 2
Boston, MA 02114-2621

Call (617) 726-8320 Map

Fax (617) 726-3077

Mailing address

PO Box 9142
Charlestown, MA 02129-9142

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X224049 (MA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1255322897

John Timothy Lysack, MD's National Provider Identifier is 1255322897, issued on Nov 2, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boston, MA. The record was last updated on Jul 13, 2026.