Organization
REGIONAL RADIOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLAUCO MARESCA MD (PRESIDENT CEO)
(315) 265-4924
Entity
Organization
Contact information
Practice address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
(443) 274-2391
Mailing address
251 NAJOLES RD STE A, MILLERSVILLE, MD 21108-2519
(443) 274-2888
(443) 274-2391
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012826030001
—
PA
Enumeration date
03/17/2006
Last updated
06/01/2020
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