Organization
MARYLAND IMAGING NETWORK PC
Active
Parent organization
MARYLAND IMAGING NETWORK PC
Other names
MIN - Waldorf
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYLAND IMAGING NETWORK PC
Authorized official
JOHN VERNON CRUES (OWNER)
(310) 445-2843
Entity
Organization
Contact information
Practice address
3510 OLD WASHINGTON RD STE 101, WALDORF, MD 20602-3234
(410) 298-0454
(443) 436-1214
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
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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