Organization
DIAGNOSTIC MANAGEMENT ASSOCIATES INC
Active
Other names
South Maryland Nuclear
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUGH B. O'NEIL (PRESIDENT)
(301) 662-2913
Entity
Organization
Contact information
Practice address
9131 PISCATAWAY RD, SUITE 250, CLINTON, MD 20735-2508
(301) 868-9575
(301) 868-9576
Mailing address
2110 ROCKY GORGE COURT, FREDERICK, MD 21702-5914
(301) 662-2913
(301) 695-6928
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
MD3316801
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1201
BLUE SHIELD
MD
05
—
5455511 00
—
MD
Enumeration date
02/28/2007
Last updated
12/10/2008
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