Provider Demographics
NPI:1053645267
Name:BAY AREA RADIOLOGIC IMAGING
Entity type:Organization
Organization Name:BAY AREA RADIOLOGIC IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROTHSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-256-2751
Mailing Address - Street 1:1412 35TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2805
Mailing Address - Country:US
Mailing Address - Phone:202-256-2751
Mailing Address - Fax:202-747-2928
Practice Address - Street 1:19847 CENTURY BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-7201
Practice Address - Country:US
Practice Address - Phone:202-256-2751
Practice Address - Fax:202-747-2928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty