Organization
ATLANTIC DIAGNOSTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS ANTHONY FERRARO MD (PRESIDENT)
(910) 791-6609
Entity
Organization
Contact information
Practice address
14089 COLLECTION CENTER DR, CHICAGO, IL 60693-0140
(910) 791-6609
Mailing address
14089 COLLECTION CENTER DR, CHICAGO, IL 60693-0140
(910) 791-6609
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200401659
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005444970
—
GA
01
—
DC3671
MEDICARE RR
GA
Enumeration date
06/13/2006
Last updated
08/09/2010
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