Southern Maryland Professional Rad in Clinton - Specialist

Southern Maryland Professional Rad - NPI 1922009968

Southern Maryland Professional Rad is a Specialist in Clinton, Maryland. Southern Maryland Professional Rad practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southern Maryland Professional Rad is 1922009968. The last update date is 2011-11-14.

Southern Maryland Professional Rad's current location address is 7501 Surratts Road, Clinton, Maryland. You can contact this provider via phone number 3018774689 and fax number 3018682298. The mailing address for Southern Maryland Professional Rad is 7501 Surratts Road, Clinton, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southern Maryland Professional Rad
Address 7501 Surratts Road, Clinton, Maryland
Phone Number 3018774689
Fax Number 3018682298
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Chiaramonte J. Michael
Credentials PRESIDENT
Telephone Number 3018774530

NPI Number Detail

NPI Number 1922009968
Provider Enumeration Date 2005-08-01
Last Updated Date 2011-11-14

Provider Mailing Address Detail

Address 7501 Surratts Road
City Clinton
State Maryland (MD)
Post Code 207353362
Phone Number 3018774689
Fax Number 3018682298

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 137190
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Southern Maryland Professional Rad

What is the unique identification code assigned to Southern Maryland Professional Rad by the Centers for Medicare & Medicaid Services?

The Southern Maryland Professional Rad has been issued the NPI (National Provider Identifier) 1922009968. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Southern Maryland Professional Rad?

The Southern Maryland Professional Rad is situated at 7501 Surratts Road, in the city of Clinton, state of MD, with the zip code 207353362.

What is Southern Maryland Professional Rad's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Southern Maryland Professional Rad is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1922009968 to Southern Maryland Professional Rad?

The Centers for Medicare & Medicaid Services originally issued the 1922009968 to Southern Maryland Professional Rad on 2005-08-01.

When was the Southern Maryland Professional Rad's information last updated?

The Southern Maryland Professional Rad's information was last updated on 2011-11-14.

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