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Organization
DIAGNOSTIC MANAGEMENT ASSOCIATES INC
Active
Organization
DIAGNOSTIC MANAGEMENT ASSOCIATES INC
Active
Other names
South Maryland Nuclear
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUGH B. O'NEIL (PRESIDENT)
(301) 662-2913
Entity
Organization
Contact information
Practice address
9131 PISCATAWAY RD, SUITE 250, CLINTON, MD 20735-2508
(301) 868-9575
(301) 868-9576
Mailing address
2110 ROCKY GORGE COURT, FREDERICK, MD 21702-5914
(301) 662-2913
(301) 695-6928
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
MD3316801
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1201
BLUE SHIELD
MD
05
—
5455511 00
—
MD
Enumeration date
02/28/2007
Last updated
12/10/2008
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