Organization
UNIVERSITY OF MARYLAND ONCOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS M JAIDAR (DIRECTOR OFONCOLOGY OPERATIONS)
(410) 328-2632
Entity
Organization
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8040
(410) 328-2578
Mailing address
PO BOX 62602, BALTIMORE, MD 21264-2602
(410) 328-8040
(410) 328-2578
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043870700
—
DC
05
—
087720400
—
MD
01
—
4005765
BLUE CROSS/BLUE SHIELD
TN
01
—
5321205
AETNA
MD
Enumeration date
05/11/2006
Last updated
05/23/2022
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