Organization
COMMUNITY RADIOLOGY ASSOCIATES INC
Active
Parent organization
COMMUNITY RADIOLOGY ASSOCIATES INC
Other names
CRA - Largo
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY RADIOLOGY ASSOCIATES INC
Authorized official
ALBERT VICTOR PORAMBO M.D. (PRESIDENT)
(301) 774-4764
Entity
Organization
Contact information
Practice address
950 HARRY S TRUMAN DR N, SUITE 150, UPPER MARLBORO, MD 20774-5477
(443) 436-1221
(443) 436-1256
Mailing address
10461 MILL RUN CIR STE 1020, OWINGS MILLS, MD 21117-5544
(443) 436-1221
(443) 436-1256
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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