# MARYLAND ONCOLOGY HEMATOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073491916
- **Authorized official:** KYLE BLACK (DIRECTOR MANAGED CARE)
- **Authorized official phone:** (610) 442-2026

## Contact information

- **Practice address:** 6505 BELCREST RD STE 110, HYATTSVILLE, MD 20782-2011
- **Practice address phone:** (301) 779-8800
- **Practice address fax:** (202) 636-9088
- **Mailing address:** 11720 BELTSVILLE DR STE 300, BELTSVILLE, MD 20705-3119
- **Mailing address phone:** (240) 223-1869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2025
- **Last updated:** 08/26/2025