Blackwell Physicians, LLC
Radiology, Diagnostic Radiology in Silver Spring, MD. Organization (NPI-2).
NPI number1619708914
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1619708914
- Entity type
- Organization (NPI-2)
- Legal business name
- Blackwell Physicians, LLC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2024
- Certification date
- Aug 9, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
12008 Cherry Hill RdSilver Spring, MD 20904-1985
Phone 301-762-8155
Mailing address
820 W Diamond Ave Ste 500Gaithersburg, MD 20878-1469
Phone 301-315-3826
Authorized official
Pamela McClain
Vp Managed Care
3013153430
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