MEDICARE: ADVANCED RADIOLOGY P A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2085R0204X	Vascular & Interventional Radiology Physician
2	207U00000X	Nuclear Medicine Physician
3	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1538986419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED RADIOLOGY P A

Provider Business Mailing Address
First Line	:	10461 MILL RUN CIR STE 1020
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-5544
Country	:	US
Telephone Number	:	443-436-1221
Fax Number	:	443-436-1256

Provider Business Practice Location Address
First Line	:	6565 N CHARLES ST STE 100
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21204-6807
Country	:	US
Telephone Number	:	888-972-9700
Fax Number	:	410-918-3425

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	DAVID I SAFFERMAN
Credential	:
Telephone Number	:	443-436-1116

Provider Enumeration Date	:	09/23/2024
Last Update Date	:	09/23/2024

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Directions to “ADVANCED RADIOLOGY P A ” Practice Location

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