Organization
GENESISCARE USA OF PRINCE GEORGES COUNTY, MARYLAND LLC
Active
Other names
Greenbelt Radiation Oncology Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHADEN MARZOUK (PRESIDENT)
(239) 931-7254
Entity
Organization
Contact information
Practice address
7503 GREENWAY CENTER DR, GREENBELT, MD 20770-3508
(301) 446-3540
(301) 446-3543
Mailing address
1419 SE 8TH TER STE 200, CAPE CORAL, FL 33990-3213
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG8516
RAILROAD MEDICARE
MD
Enumeration date
03/26/2007
Last updated
09/25/2023
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