=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174627707
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FINIZIO - RADIOLOGY IMAGING ASSOCIATES, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2006
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11335 PEMBROOKE SQ STE 101
-----------------------------------------------------
City | WALDORF
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20603
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-870-8434
-----------------------------------------------------
Fax | 301-870-5327
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7801 OLD BRANCH AVE SUITE 300
-----------------------------------------------------
City | CLINTON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-856-6718
-----------------------------------------------------
Fax | 301-856-6722
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTORY
-----------------------------------------------------
Name | MR. JOSEPH P. FINIZIO
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 301-856-6718
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------