Organization
MID ATLANTIC RADIOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOURREDDINE GUAOUGUAOU MD (PRESIDENT)
(419) 796-0306
Entity
Organization
Contact information
Practice address
7503 SURRATTS RD, ROUTE 5, CLINTON, MD 20735-3358
(301) 868-8000
Mailing address
PO BOX 54, MOUNT AIRY, MD 21771-0054
(419) 796-0306
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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