Organization
BAY HEMATOLOGY ONCOLOGY, P.A.
Active
Other names
Nancy LA Bunce
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON K BOOZE (PRACTICE MANAGER)
(410) 820-5945
Entity
Organization
Contact information
Practice address
2977 4H PARK RD, SUITE 102, CENTREVILLE, MD 21617-2232
(410) 758-4030
(410) 758-4733
Mailing address
2977 4H PARK RD, SUITE 102, CENTREVILLE, MD 21617-2232
(410) 758-4030
(410) 758-4733
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AC000387
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100820000
—
MD
Enumeration date
02/15/2017
Last updated
02/15/2017
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