Organization
ADVANCED RADIOLOGY P A
Active
Parent organization
ADVANCED RADIOLOGY P A
Other names
ADV - Knoll North
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED RADIOLOGY P A
Authorized official
DAVID I SAFFERMAN MD (PRESIDENT & CEO)
(443) 436-1116
Entity
Organization
Contact information
Practice address
5500 KNOLL NORTH DR STE 100, COLUMBIA, MD 21045-2360
(888) 972-9700
(410) 918-3425
Mailing address
10461 MILL RUN CIR STE 1020, OWINGS MILLS, MD 21117-5544
(443) 436-1221
(443) 436-1256
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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