Individual
DR. MATTHEW MICHAEL LADRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 N BROADWAY ST, WEINBERG 1440, BALTIMORE, MD 21287-0019
(410) 614-1642
Mailing address
PO BOX 64474, BALTIMORE, MD 21264-4474
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D80992
MD
2085R0001X
Radiation Oncology Physician
ML60040041
WA
Other
Enumeration date
10/21/2008
Last updated
05/06/2016
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