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Organization

BAY HEMATOLOGY ONCOLOGY, P.A.

Active
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Organization

BAY HEMATOLOGY ONCOLOGY, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON K BOOZE (PRACTICE MANAGER)
(410) 820-5945
Entity
Organization

Contact information

Practice address
2977 4H PARK RD, SUITE 102, CENTREVILLE, MD 21617-2232
(410) 758-4030
(410) 758-4733
Mailing address
2977 4H PARK RD, SUITE 102, CENTREVILLE, MD 21617-2232
(410) 758-4030
(410) 758-4733

Taxonomy

Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
954120900
—
MD
Enumeration date
02/15/2017
Last updated
11/01/2017
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