Healthcare Provider Details

I. General information

NPI: 1528162195
Provider Name (Legal Business Name): FINIZIO - RADIOLOGY IMAGING ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 W DARES BEACH RD STE 100
PRINCE FREDERICK MD
20678-3151
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 301-855-9754
  • Fax: 301-855-1367
Mailing address:
  • Phone: 301-856-6718
  • Fax: 301-856-6722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateMD

VIII. Authorized Official

Name: JOSEPH P. FINIZIO
Title or Position: DIRECTOR/RADIOLOGIST
Credential: M.D.
Phone: 301-856-6718