Organization · NPI-2

Advanced Radiology P A

Radiology, Diagnostic Radiology · Owings Mills, MD

NPI number1932167178
StatusActive
Last updated in NPPESApr 9, 2024

Details

NPI
1932167178
Entity type
Organization (NPI-2)
Legal business name
Advanced Radiology P A
Organization subpart
No
Enumeration date
May 3, 2006
Certification date
Dec 15, 2023
Last updated
Apr 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes
207U00000X Nuclear Medicine––

Practice location

21 Crossroads Dr Ste 100
Owings Mills, MD 21117-5484

Phone 888-972-9700 · Fax 443-436-1500

Mailing address

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

Phone 443-436-1116 · Fax 443-436-1256

Authorized official

David I Safferman
President And Ceo
4434361215

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