Organization
FULTON DIAGNOSTIC RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ZAMPELLI (COO)
(301) 739-6147
Entity
Organization
Contact information
Practice address
214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 17233-8559
(301) 739-6144
Mailing address
10715 DOWNSVILLE PIKE STE 103, HAGERSTOWN, MD 21740-7240
(301) 739-6144
(301) 739-6163
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022427920001
—
PA
01
—
DP1754
MEDICARE RAILROAD
—
Enumeration date
10/24/2008
Last updated
04/27/2020
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