Individual provider · Type 1 NPI

Nicodeme Wanko Agassy, MD

Diagnostic Radiology Physician · Boston, MA

NPI number 1477044550 Active

Practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

1 Richmond St Apt 4012
New Brunswick, NJ 08901-4102

Other practice locations

  • 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 · (240) 715-7885
  • 301 University Blvd, Galveston, TX 77555-5302 · (409) 772-7150

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X25MA11170500 (NJ)
Diagnostic Radiology Physician Primary 2085R0202X1026325 (MA)
Diagnostic Radiology Physician 2085R0202XW5615 (TX)

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 1477044550

Nicodeme Wanko Agassy, MD's National Provider Identifier is 1477044550, issued on May 23, 2018. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boston, MA. The record was last updated on Oct 26, 2026.