Organization
21ST CENTURY ONCOLOGY OF HARFORD COUNTY MARYLAND, LLC
Active
Other names
Riverside Oncology Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID N.T. WATSON (CFO)
(239) 931-7281
Entity
Organization
Contact information
Practice address
1200 BRASS MILL RD, SUITE E, BELCAMP, MD 21017-1217
(410) 272-9224
(410) 575-7951
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF4872
RAILROAD MEDICARE
MD
Enumeration date
06/11/2006
Last updated
02/20/2008
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