Individual
MICAH JOEL MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1800 ORLEANS ST, THE BLOOMBERG CHILDREN'S CENTER, RM 11379, BALTIMORE, MD 21287-0010
(410) 614-5055
Mailing address
1800 ORLEANS ST, THE BLOOMBERG CHILDREN'S CENTER, RM 11379, BALTIMORE, MD 21287-0010
(410) 614-5055
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
D0079065
MD
Other
Enumeration date
05/11/2011
Last updated
11/04/2019
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