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 COLLECTIONS CENTER DR, CHICAGO, IL 60693-0140
(910) 791-6609
Mailing address
14089 COLLECTIONS CENTER DR, CHICAGO, IL 60693-0140
(910) 791-6609
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20123
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902901
—
NC
01
—
CB3996
MEDICARE RR
NC
Enumeration date
06/17/2006
Last updated
08/09/2010
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