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Bay Hematology Oncology, P.A.

Clinic/Center, Oncology in Centreville, MD. Organization (NPI-2).

NPI number1669911293
StatusActive
Last updated in NPPESNov 1, 2017

Details

NPI
1669911293
Entity type
Organization (NPI-2)
Legal business name
Bay Hematology Oncology, P.A.
Organization subpart
No
Enumeration date
Feb 15, 2017
Last updated
Nov 1, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QX0200X Clinic/Center, Oncology––Yes

Practice location

2977 4h Park Rd
Suite 102
Centreville, MD 21617-2232

Phone 410-758-4030 · Fax 410-758-4733

Mailing address

2977 4h Park Rd
Suite 102
Centreville, MD 21617-2232

Phone 410-758-4030 · Fax 410-758-4733

Authorized official

Sharon K Booze
Practice Manager
4108205945

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