# MARYLAND ONCOLOGY HEMATOLOGY

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

## Provider details

- **NPI number:** 1982558904
- **Authorized official:** KYLE BLACK (MANAGED CARE DIRECTOR)
- **Authorized official phone:** (610) 442-2026

## Contact information

- **Practice address:** 112 THOMAS JOHNSON DR STE 250, FREDERICK, MD 21702-4972
- **Practice address phone:** (301) 695-6777
- **Practice address fax:** (301) 695-4852
- **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:** 02/25/2026
- **Last updated:** 02/25/2026