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Organization

MARYLAND ONCOLOGY HEMATOLOGY, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JON MINFORD M.D. (PRESIDENT/PHYSICIAN)
(410) 964-2212
Entity
Organization

Contact information

Practice address
40 V TWIN DR, SUITE 104, GETTYSBURG, PA 17325-7875
(717) 338-9009
(717) 334-1514
Mailing address
10710 CHARTER DR, SUITE G020, COLUMBIA, MD 21044-3128
(410) 964-2212
(410) 964-1111

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
D30573
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1026042650001
PA
Enumeration date
05/31/2011
Last updated
09/07/2011
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