Organization
COMMUNITY RADIOLOGY ASSOCIATES INC
Active
Parent organization
COMMUNITY RADIOLOGY ASSOCIATES INC
Other names
CRA - Leisure World
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY RADIOLOGY ASSOCIATES INC
Authorized official
ALBERT VICTOR PORAMBO MD (PRESIDENT)
(301) 774-4764
Entity
Organization
Contact information
Practice address
3801 INTERNATIONAL DR STE 103, SILVER SPRING, MD 20906-1550
(888) 601-3664
(301) 662-5870
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
11/11/2024
Last updated
11/11/2024
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