Organization
MARYLAND ONCOLOGY HEMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE BLACK (MANAGED CARE DIRECTOR)
(610) 442-2026
Entity
Organization
Contact information
Practice address
112 THOMAS JOHNSON DR STE 250, FREDERICK, MD 21702-4972
(301) 695-6777
(301) 695-4852
Mailing address
11720 BELTSVILLE DR STE 300, BELTSVILLE, MD 20705-3119
(240) 223-1869
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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