Organization
ADVANCED IMAGING OF TRACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M. PORZIO (MD/PRESIDENT)
(209) 833-2393
Entity
Organization
Contact information
Practice address
200 JOSE FIGUERES AVE, STE 190, SAN JOSE, CA 95116-1586
(408) 259-5000
Mailing address
PO BOX 398091, SAN FRANCISCO, CA 94139-8091
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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