Organization · NPI-2

21st Century Oncology Of Harford County Maryland, LLC

· Belcamp, MD

NPI number1063454783
StatusActive
Last updated in NPPESFeb 20, 2008

Details

NPI
1063454783
Entity type
Organization (NPI-2)
Legal business name
21st Century Oncology Of Harford County Maryland, LLC
Organization subpart
No
Enumeration date
Jun 11, 2006
Last updated
Feb 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X ––Yes

Other names

  • Riverside Oncology Center (Doing Business As)

Practice location

1200 Brass Mill Rd
Suite E
Belcamp, MD 21017-1217

Phone 410-272-9224 · Fax 410-575-7951

Mailing address

2234 Colonial Blvd
Fort Myers, FL 33907-1412

Phone 239-931-7342 · Fax 239-931-7385

Authorized official

David N.T. Watson
Cfo
2399317281

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other providers in Belcamp, MD