Organization
ADVANCED RADIOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S TKACH (ADMINISTRATOR)
(401) 725-6736
Entity
Organization
Contact information
Practice address
525 BROAD ST, CUMBERLAND, RI 02864-6919
(401) 727-4600
(401) 727-4690
Mailing address
525 BROAD ST, CUMBERLAND, RI 02864-6919
(401) 727-4600
(401) 727-4690
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006349
—
RI
Enumeration date
05/19/2006
Last updated
08/22/2020
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