Organization
CHESAPEAKE ONCOLOGY HEMATOLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATANYA RENETTE MOORE (PRACTICE MANAGER)
(410) 761-9896
Entity
Organization
Contact information
Practice address
305 HOSPITAL DR, GLEN BURNIE, MD 21061-5805
(410) 761-9896
(411) 761-2250
Mailing address
305 HOSPITAL DR, GLEN BURNIE, MD 21061-5805
(410) 761-9896
(410) 761-2250
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210121100
—
MD
Enumeration date
03/07/2006
Last updated
03/19/2026
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