Organization
UNIVERSITY IMAGING CENTER, CHARLES E BUCKLEY, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOIS I WILLIAMS (BILLING MANAGER)
(301) 220-0150
Entity
Organization
Contact information
Practice address
4700 BERWYN HOUSE RD, SUITE 208, COLLEGE PARK, MD 20740
(301) 345-0406
Mailing address
4700 BERWYN HOUSE RD, SUITE 208, COLLEGE PARK, MD 20740
(301) 220-0150
(301) 220-1032
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307551600
—
MD
Enumeration date
08/31/2006
Last updated
03/30/2010
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