Individual
WENDLA K CITRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
305 HOSPITAL DR, TATE CANCER CENTER, GLEN BURNIE, MD 21061-5805
(410) 553-8100
Mailing address
305 HOSPITAL DRIVE, TATE CANCER CENTER, GLEN BURNIE, MD 21061
(410) 553-8100
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D0063808
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410289400
—
MD
01
—
P00405542
RAILROAD MEDICARE
MD
Enumeration date
07/12/2006
Last updated
12/16/2008
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