| Maryland Oncology Hematology, P.a. | |
|
46b Thomas Johnson Dr Ste 200 Frederick MD 21702-4501 | |
| (301) 695-6777 | |
| (301) 695-4852 |
| Full Name | Maryland Oncology Hematology, P.a. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 46b Thomas Johnson Dr Ste 200, Frederick, Maryland |
| Authorized Official Name and Position | Robert Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2029093301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Oncology Hematology, P.a. 11720 Beltsville Dr Ste 300 Beltsville MD 20705-3119 Ph: () - | Maryland Oncology Hematology, P.a. 46b Thomas Johnson Dr Ste 200 Frederick MD 21702-4501 Ph: (301) 695-6777 |
| NPI Number | 1407521412 |
|---|---|
| Provider Enumeration Date | 08/11/2021 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407521412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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