Healthcare Provider Details

I. General information

NPI: 1467566240
Provider Name (Legal Business Name): FINIZIO - RADIOLOGY IMAGING ASSOICATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8926 WOODYARD RD SUITE 401
CLINTON MD
20735-4220
US

IV. Provider business mailing address

7801 OLD BRANCH AVE SUITE 300
CLINTON MD
20735-1608
US

V. Phone/Fax

Practice location:
  • Phone: 301-856-3670
  • Fax: 301-868-0129
Mailing address:
  • Phone: 301-856-6718
  • Fax: 301-856-6722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: RENEE RICHARDSON
Title or Position: CREDENTIALING
Credential:
Phone: 301-856-6718