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Organization

MARYLAND ONCOLOGY HEMATOLOGY, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT DAVIS (EXECUTIVE DIRECTOR)
(202) 909-3301
Entity
Organization

Contact information

Practice address
7350 VAN DUSEN RD STE 370, LAUREL, MD 20707-5231
(301) 470-1001
(301) 470-1004
Mailing address
11720 BELTSVILLE DR STE 300, BELTSVILLE, MD 20705-3119
(240) 223-1893
(301) 326-2926

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
215868
MEDICARE PTAN
MD
01
DR6644
MEDICARE RAILROAD PTAN
MD
Enumeration date
12/11/2007
Last updated
06/04/2024
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