Organization · NPI-2

Advanced Radiology P A

Radiology, Diagnostic Radiology · Glen Burnie, MD

NPI number1801751649

StatusActive

Last updated in NPPESDec 23, 2025

Details

NPI: 1801751649
Entity type: Organization (NPI-2)
Legal business name: Advanced Radiology P A
Organization subpart: Yes
Enumeration date: Dec 23, 2025
Certification date: Dec 23, 2025
Last updated: Dec 23, 2025

Taxonomy and licenses

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

Practice location

7801 Elvaton Ct
Glen Burnie, MD 21061-6763

Phone 443-436-1100 · Fax 443-436-1256

Mailing address

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

Phone 443-436-1100 · Fax 443-436-1256

Authorized official

David I Safferman
President & Ceo
4434361116

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