Organization
EASTERN RADIOLOGISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SCOTT KUSZYK MD (PRESIDENT)
(252) 752-5000
Entity
Organization
Contact information
Practice address
2101 W ARLINGTON BLVD, SUITE 210, GREENVILLE, NC 27834-5758
(252) 752-5000
(252) 752-0166
Mailing address
PO BOX 30750, GREENVILLE, NC 27833-0750
(252) 752-5000
(252) 752-0166
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01497
BCBS OF NC
NC
01
—
152446100
US DEPARTMENT OF LABOR
—
05
—
8901497
—
NC
01
—
CD8550
RAILROAD MEDICARE
—
01
—
CG6824
RAILROAD MEDICARE
—
Enumeration date
04/10/2006
Last updated
07/11/2024
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