Organization
THERAPEUTIC RADIOLOGY ASSO, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN ROGER CORNELL M.D. (PRESIDENT)
(301) 665-4650
Entity
Organization
Contact information
Practice address
11110 MEDICAL CAMPUS RD, SUITE 129, HAGERSTOWN, MD 21742-6700
(301) 665-4650
(301) 665-4648
Mailing address
11110 MEDICAL CAMPUS RD, SUITE 129, HAGERSTOWN, MD 21742-6700
(301) 665-4650
(301) 665-4648
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D0039518
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147891500
—
MD
Enumeration date
01/04/2007
Last updated
08/02/2010
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