Organization
AMERICAN RADIOLOGY SERVICES BANYAN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J. MARZANO MD (OWNER)
(239) 430-4674
Entity
Organization
Contact information
Practice address
8903 GLADES RD, SUITE B-1, BOCA RATON, FL 33434-4074
(561) 218-9011
(561) 218-9012
Mailing address
500 W MAIN ST, SUITE 108, BABYLON, NY 11702-3027
(631) 517-8006
(631) 517-8007
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
HCC7491
FL
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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