Organization
PROGRESSIVE NEUROSKELETAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM B WOLF III M.D. (MANAGER)
(301) 528-4332
Entity
Organization
Contact information
Practice address
19847 CENTURY BLVD, SUITE 275, GERMANTOWN, MD 20874-7201
(301) 528-4332
(301) 528-9338
Mailing address
9601 BLACKWELL RD, ROCKVILLE, MD 20850-3472
(301) 251-7897
(301) 251-7898
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408087400
—
MD
Enumeration date
06/14/2006
Last updated
10/05/2010
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