| Maryland Oncology Hematology, P.a. | |
|
205 Center St Ste 200 Mount Airy MD 21771-5499 | |
| (301) 829-0707 | |
| (301) 829-5505 |
| Full Name | Maryland Oncology Hematology, P.a. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 205 Center St Ste 200, Mount Airy, 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. 205 Center St Ste 200 Mount Airy MD 21771-5499 Ph: (301) 829-0707 |
| NPI Number | 1649945650 |
|---|---|
| Provider Enumeration Date | 08/11/2021 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649945650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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