Maryland Oncology Hematology P.a.

NPI #1396710703 in Columbia, Maryland

Provider Information

NPI Number: 1396710703
Entity Type: Organization
Organization Name: Maryland Oncology Hematology P.a.
Primary Specialty: Internal Medicine - Hematology & Oncology
Enumeration Date: Feb 20, 2006
Last Updated: Dec 7, 2010

Practice Location

Address: 10710 CHARTER DRIVE
Address 2: SUITE G020
City: Columbia
State: Maryland
ZIP Code: 21044-3257
Phone: (410) 964-2212

Authorized Official

Name: DR. NICHOLAS W KOUTRELAKOS, M.D.
Title: PRESIDENT
Phone: (410) 964-2212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Hematology & Oncology — Hematology & Oncology	207RH0003X	Primary

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