Organization
SURGICAL ONCOLOGY ASSOCIATES MD-PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUKUND S DIDOLKAR M.D. (DIRECTOR, SURGICAL ONCOLOGY)
(410) 601-8317
Entity
Organization
Contact information
Practice address
2401 W BELVEDERE AVE, FIRST FLOOR, MAIN, BALTIMORE, MD 21215-5216
(410) 601-8317
(410) 601-9345
Mailing address
2401 W BELVEDERE AVE, FIRST FLOOR, MAIN, BALTIMORE, MD 21215-5216
(410) 601-8317
(410) 601-9345
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460000200
—
MD
Enumeration date
07/27/2006
Last updated
02/18/2011
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