Provider Demographics
NPI:1154351021
Name:ASSOCIATES IN RADIATION MEDICINE, PC
Entity type:Organization
Organization Name:ASSOCIATES IN RADIATION MEDICINE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:L
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-846-5527
Mailing Address - Street 1:PO BOX 418837
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-8837
Mailing Address - Country:US
Mailing Address - Phone:888-846-5527
Mailing Address - Fax:607-324-2369
Practice Address - Street 1:4831 TESLA DR STE A-C
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4323
Practice Address - Country:US
Practice Address - Phone:301-805-6860
Practice Address - Fax:301-805-0755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD041198972085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2213967OtherAETNA GROUP #
DC2902OtherCAREFIRST BC/BS
MD435699OtherMAMSI
MD100683OtherKAISER PERMANENTE GROUP #
MD90200400Medicaid
MDKA31AS 603327OtherCAREFIRST BC/BS
DC034401700Medicaid
MD2213967OtherAETNA GROUP #
DC2902OtherCAREFIRST BC/BS