Organization Name: | SOUTHERN MARYLAND PROFESSIONAL RAD |
NPI Number: | 1922009968 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J. CHIARAMONTE (PRESIDENT) |
Mailing Address: | 7501 Surratts Road Suite 104 Clinton |
State: | MD US |
Postal Code: | 207353362 |
Phone Number: | 3018774689 |
Fax Number: | 3018682298 |
NPI Enumeration Date: | 08/01/2005 |
NPI Last Update Date: | 11/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 137190 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |