| NPI | 1043037351 |
|---|---|
| Other Name | ADV - QUARRY LAKE |
| Entity Type | Organization |
| Authorized Contact | DAVID I SAFFERMAN President & CEO 443-436-1116 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207U00000X Nuclear Medicine |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |