Basic Information
| Provider Information | |||||||||
| NPI: | 1942313952 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FINIZIO - RADIOLOGY IMAGING ASSOICATES, P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7801 OLD BRANCH AVE | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | CLINTON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207351608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018566718 | ||||||||
| FaxNumber: | 3018566722 | ||||||||
| Practice Location | |||||||||
| Address1: | 8926 WOODYARD RD | ||||||||
| Address2: | SUITE 301 | ||||||||
| City: | CLINTON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207354220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018563670 | ||||||||
| FaxNumber: | 3018680129 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2006 | ||||||||
| LastUpdateDate: | 08/09/2017 | ||||||||
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| AuthorizedOfficialLastName: | FINIZIO | ||||||||
| AuthorizedOfficialFirstName: | JOSEPH | ||||||||
| AuthorizedOfficialMiddleName: | P. | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR/RADIOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 3018566718 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
ID Information
| ID | Type | State | Issuer | Description | 3127365 | 01 | MD | ALLIANCE/MAMSI (NON-MRI) | OTHER | 125799 | 01 | MD | AETNA | OTHER | 1606171 | 01 | MD | UNITED HEALTH CARE | OTHER | 172998 | 01 | MD | ANTHEM | OTHER | 5100501 | 01 | MD | AETNA PPO | OTHER | 1122 | 01 | MD | CAREFIRST FEDERAL | OTHER | 407579002 | 05 | MD | MEDICAID | 471857408/002 | 01 | MD | TRICARE | OTHER | 1606138 | 01 | MD | AMERICHOICE | OTHER | 2127917 | 01 | MD | ALLIANCE/MAMSI (MRI) | OTHER | S351RA | 01 | MD | CAREFIRST GROUP NUMBER | OTHER |