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Individual

DR. SAM O WANKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
BLDG 8 4TH DECK 8901 WISCONSIN AVE, NATIONAL NATIONAL MEDICAL CENTER, DEPT OF ONCOLOGY, BETHESDA, MD 20889
(301) 435-5386
Mailing address
2000 FOUNDATION WAY STE 2600, MARTINSBURG, WV 25401-9197
(304) 267-1944

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0101058113
VA
207RH0003X
Hematology & Oncology Physician
Primary
28106
WV

Other

Enumeration date
07/25/2006
Last updated
04/07/2022
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