Organization
RADIATION ONCOLOGY SERVICES OF NORTHWEST BALTIMORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J BRENNER MD (HEAD PHYSICIAN)
(410) 601-5681
Entity
Organization
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215
(410) 601-5681
(410) 601-5690
Mailing address
PO BOX 17225, BALTIMORE, MD 21297
(410) 601-5681
(410) 601-5690
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
04/17/2006
Last updated
08/22/2020
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