Individual
CARDELLA W COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 W BELVEDERE AVE, RADIATION ONCOLOGY, BALTIMORE, MD 21215-5216
(410) 601-5689
(410) 601-6307
Mailing address
2401 W BELVEDERE AVE, RADIATION ONCOLOGY, BALTIMORE, MD 21215-5216
(410) 601-5689
(410) 601-6307
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D0055210
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022302600
—
MD
01
—
920006397
MEDICARE RAILROAD
—
01
—
920007555
RAILROAD MEDICARE
MD
01
—
P00777329
RAILROAD MEDICARE PTAN
MD
Enumeration date
03/02/2006
Last updated
10/01/2013
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