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Organization

SOUTHERN MARYLAND PROFESSIONAL RAD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL J. CHIARAMONTE PRESIDENT (PRESIDENT)
(301) 877-4530
Entity
Organization

Contact information

Practice address
7501 SURRATTS ROAD, SUITE 104, CLINTON, MD 20735-3362
(301) 877-4689
(301) 868-2298
Mailing address
7503 SURRATTS ROAD, CLINTON, MD 20735-3358
(301) 870-7001
(301) 870-6697

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
137190
MD
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
08/01/2005
Last updated
11/14/2011
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