Organization
ADVANCED RADIOLOGY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID I SAFFERMAN MD (PRESIDENT AND CEO)
(443) 436-1215
Entity
Organization
Contact information
Practice address
21 CROSSROADS DR STE 100, OWINGS MILLS, MD 21117-5484
(888) 972-9700
(443) 436-1500
Mailing address
10461 MILL RUN CIR STE 1200, OWINGS MILLS, MD 21117-4204
(443) 436-1116
(443) 436-1256
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234721100
—
MD
05
—
991125100
—
MD
Enumeration date
05/03/2006
Last updated
04/09/2024
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