Organization
ALLEGANY IMAGING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN NICKOLAS PAPPAS M.D. (PRESIDENT)
(240) 964-1035
Entity
Organization
Contact information
Practice address
12500 WILLOWBROOK RD, DEPT. OF RADIOLOGY, CUMBERLAND, MD 21502-6393
(240) 964-1036
(240) 964-1048
Mailing address
PO BOX 3206, LAVALE, MD 21504-3206
(240) 964-1035
(240) 964-1105
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210145000
—
WV
05
—
404554800
—
MD
05
—
404554802
—
WV
Enumeration date
10/03/2006
Last updated
09/24/2024
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