Individual
KENNETH J PIENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, ONCOLOGY 123, BALTIMORE, MD 21287-0005
(410) 283-1016
Mailing address
PO BOX 64474, BALTIMORE, MD 21264-4474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301058498
MI
207RX0202X
Medical Oncology Physician
4301058498
MI
207RX0202X
Medical Oncology Physician
Primary
D36665
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
546111100
—
MD
Enumeration date
10/31/2006
Last updated
02/24/2014
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