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Individual

JUSTINIAN NGAIZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 749-1282
(410) 749-7821
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 749-1282
(410) 749-7821

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D66198
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0006
BLUE SHIELD OF DC
01
017081
BLUE SHIELD OF VA
01
259622
ALLIANCE MDIPA
01
281223
AMERIGROUP
01
3600054
UNITED HEALTH CARE
01
3738
BLUE SHIELD OF DC GRP
01
37380006
CAPITAL CARE
01
478364
US HEALTH CARE
01
830007450
MC TRAVELERS
Enumeration date
11/22/2005
Last updated
04/24/2014
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