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Organization

EASTERN SHORE RADIATION ONCOLOGY ASSOC., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN PHILIP MASTANDREA M.D. (PRESIDENT)
(410) 820-6411
Entity
Organization

Contact information

Practice address
509 IDLEWILD AVE, EASTON, MD 21601
(410) 820-6411
(410) 820-4229
Mailing address
509 IDLEWILD AVE, EASTON, MD 21601-3889
(410) 820-6411
(410) 820-4229

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D0036644
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
088861300
MD
Enumeration date
10/05/2007
Last updated
05/22/2018
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