Skin Cancer Eb, LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

D63835 Issued in MD

Legal business name

SKIN CANCER EB, LLC

Practice address

300 Redland CT
Suite 101
Owings Mills, MD 21117-3271

Phone

(410) 591-6910

NPI assigned

May 1, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vladimir Ioffe, M.D.

Title

Administrator

Phone

(410) 591-6910

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1538546262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 CORBRIDGE LN",
            "city": "MONKTON",
            "state": "MD",
            "postal_code": "211112027",
            "telephone_number": "410-591-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 REDLAND CT",
            "address_2": "SUITE 101",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173271",
            "telephone_number": "410-591-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER EB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "IOFFE",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-591-6910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D63835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Physician in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Radiation Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.