Organization
MARYLAND ONCOLOGY HEMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE BLACK (DIRECTOR MANAGED CARE)
(610) 442-2026
Entity
Organization
Contact information
Practice address
6505 BELCREST RD STE 110, HYATTSVILLE, MD 20782-2011
(301) 779-8800
(202) 636-9088
Mailing address
11720 BELTSVILLE DR STE 300, BELTSVILLE, MD 20705-3119
(240) 223-1869
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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