Organization · NPI-2

Advanced Radiology P A

Radiology, Diagnostic Radiology · Glen Burnie, MD

NPI number1710704028

StatusActive

Last updated in NPPESSep 26, 2024

Details

NPI: 1710704028
Entity type: Organization (NPI-2)
Legal business name: Advanced Radiology P A
Organization subpart: Yes
Enumeration date: Sep 26, 2024
Certification date: Sep 26, 2024
Last updated: Sep 26, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085R0202X	Radiology, Diagnostic Radiology	–	–	Yes
207U00000X	Nuclear Medicine	–	–
2085R0204X	Radiology, Vascular & Interventional Radiology	–	–

Other names

Adv - Pet Center At Bwmc (Other Name)

Practice location

305 Hospital Dr Ste 302
Glen Burnie, MD 21061-5862

Phone 888-972-9700 · Fax 410-918-3425

Mailing address

10461 Mill Run Cir Ste 1020
Owings Mills, MD 21117-5544

Phone 443-436-1221 · Fax 443-436-1256

Authorized official

David I Safferman
President & Ceo
4434361116

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