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Individual

SAUL YANOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6841
(410) 328-2578
Mailing address
PO BOX 62602, BALTIMORE, MD 21264-2602
(410) 328-6841
(410) 328-2578

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
32562
DC
207RH0003X
Hematology & Oncology Physician
Primary
D62798
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
025503301
MD
05
1386643450
DE
01
608539-02 & 03
CAREFIRST - MARYLAND
MD
01
S053-0052
CAREFIRST - REGIONAL
MD
Enumeration date
07/20/2005
Last updated
05/05/2014
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