Organization
MARYLAND IMAGING NETWORK PC
Active
Parent organization
MARYLAND IMAGING NETWORK PC
Other names
MIN CHMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYLAND IMAGING NETWORK PC
Authorized official
JOHN VERNON CRUES (OWNER)
(443) 436-1116
Entity
Organization
Contact information
Practice address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(443) 436-1221
(443) 436-1256
Mailing address
10461 MILL RUN CIR STE 1200, OWINGS MILLS, MD 21117-4204
(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
04/29/2024
Last updated
04/29/2024
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