| NPI | 1780660217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A. LYONS Credentialing Manager 410-356-8186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 207U00000X Nuclear Medicine |
| 2085N0700X Radiology Neuroradiology | |
| 2085P0229X Radiology Pediatric Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2022-03-25 |