Organization · NPI-2

Advanced Radiology P A

Radiology, Diagnostic Radiology · Glen Burnie, MD

NPI number1326894387
StatusActive
Last updated in NPPESApr 29, 2024

Details

NPI
1326894387
Entity type
Organization (NPI-2)
Legal business name
Advanced Radiology P A
Organization subpart
Yes
Enumeration date
Apr 29, 2024
Certification date
Apr 29, 2024
Last updated
Apr 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes
207U00000X Nuclear Medicine––
2085R0204X Radiology, Vascular & Interventional Radiology––

Other names

  • Adv Bwmc (Other Name)

Practice location

301 Hospital Dr
Glen Burnie, MD 21061-5803

Phone 443-436-1221 · Fax 443-436-1256

Mailing address

10461 Mill Run Cir Ste 1200
Owings Mills, MD 21117-4204

Phone 443-436-1221 · Fax 443-436-1256

Authorized official

David I Safferman
President & Ceo
4434361116

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