Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Annapolis Oncology Center
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (VICE PRESIDENT)
(443) 481-6415
Entity
Organization
Contact information
Practice address
1106 ANNAPOLIS RD STE 210, ODENTON, MD 21113-1740
(410) 573-5300
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/24/2021
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