Southern Maryland Professional Rad
Southern Maryland Professional Rad provides Specialist services in Clinton, Maryland. Licensed in Maryland. Registered with an NPI since 2005.
- Licensed in
- MD
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
7501 Surratts Rd Ste 104Clinton, MD 20735-3362 Not confirmed with CMS for 14 years — call before visiting
Phone: (301) 877-4689
Fax: (301) 868-2298
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Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 137190 (MD) |
Record details
| NPI number | 1922009968 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Chiaramonte — President · (301) 877-4530 |
| NPI enumerated | August 1, 2005 |
| Last updated in NPPES | November 14, 2011 |
| Mailing address | 7503 Surratts Road, Clinton, MD 20735-3358 |
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