Organization
TRI-STATE RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN NICKOLAS PAPPAS MD (TREASURER)
(301) 723-5581
Entity
Organization
Contact information
Practice address
900 SETON DR, DEPARTMENT OF RADIOLOGY, CUMBERLAND, MD 21502-1854
(301) 723-5581
(301) 723-5745
Mailing address
PO BOX 3206, LAVALE, MD 21504-3206
(301) 723-5581
(301) 723-5745
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010353000
—
WV
Enumeration date
10/05/2006
Last updated
04/15/2008
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