1942313952 NPI number — FINIZIO - RADIOLOGY IMAGING ASSOICATES, P.C.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942313952 NPI number — FINIZIO - RADIOLOGY IMAGING ASSOICATES, P.C.

Employer Identification Number (EIN):

Provider Organization Name:

FINIZIO - RADIOLOGY IMAGING ASSOICATES, P.C.

Provider Last Name:

Provider First Name:

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

Provider Gender Code:

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

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Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1942313952

Entity Type Code:

Organization

Replacement NPI:

Last Update Date:

08/09/2017

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

7801 OLD BRANCH AVE

Provider Second Line Business Mailing Address:

SUITE 300

Provider Business Mailing Address City Name:

CLINTON

Provider Business Mailing Address State Name:

MD

Provider Business Mailing Address Postal Code:

20735-1608

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

301-856-6718

Provider Business Mailing Address Fax Number:

301-856-6722

Provider First Line Business Practice Location Address:

8926 WOODYARD RD

Provider Second Line Business Practice Location Address:

SUITE 301

Provider Business Practice Location Address City Name:

CLINTON

Provider Business Practice Location Address State Name:

MD

Provider Business Practice Location Address Postal Code:

20735-4220

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

301-856-3670

Provider Business Practice Location Address Fax Number:

301-868-0129

Provider Enumeration Date:

08/16/2006

Authorized Official Last Name:

FINIZIO

Authorized Official First Name:

JOSEPH

Authorized Official Middle Name:

P.

Authorized Official Title or Position:

DIRECTOR/RADIOLOGIST

Authorized Official Telephone Number:

301-856-6718

• Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 3127365 . This is a "ALLIANCE/MAMSI (NON-MRI)" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 125799 . This is a "AETNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 1606171 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 172998 . This is a "ANTHEM" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 5100501 . This is a "AETNA PPO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 1122 . This is a "CAREFIRST FEDERAL" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 407579002 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
• Identifier: 471857408/002 . This is a "TRICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 1606138 . This is a "AMERICHOICE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 2127917 . This is a "ALLIANCE/MAMSI (MRI)" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: S351RA . This is a "CAREFIRST GROUP NUMBER" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".