Bay Hematology Oncology, P.a.
Organization Active NPI Oncology Clinic/Center · Centreville, MD
NPI 1669911293 · NPPES record last updated Nov 1, 2017
Key facts
- NPI
- 1669911293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oncology Clinic/Center 261QX0200X
- Legal business name
- BAY HEMATOLOGY ONCOLOGY, P.A.
- Practice address
- 2977 4H Park Rd
Suite 102
Centreville, MD 21617-2232 - Phone
- (410) 758-4030
- Fax
- (410) 758-4733
- NPI assigned
- Feb 15, 2017
- Organization subpart
- No
Authorized official
- Name
- Sharon K Booze
- Title
- Practice Manager
- Phone
- (410) 820-5945
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Bay Hematology Oncology PA
Locations
2977 Four H Park Rd
Ste 102
Centreville, MD 21617
Phone (410) 758-4030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Clinic/Center | 261QX0200X | Yes |
Addresses
Primary practice location
2977 4H Park Rd
Suite 102
Centreville, MD 21617-2232
Mailing address
2977 4H Park Rd
Suite 102
Centreville, MD 21617-2232
Phone (410) 758-4030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 954120900 | Medicaid | MD |
Other providers in Centreville, MD
- Anne Arundel Counseling, Inc.
- Aretha Charlene Ayers
- Elizabeth Baer
- Jessica Baker
- Frances Barry
- Bay Hematology Oncology, P.a.
- Bay Hematology Oncology, P.a.
- Bay Hematology Oncology, P.a.
- Bay Hematology Oncology, P.a.
- Bayside Physical Therapy & Sports Rehabilitation Limited Partnership
All providers in Centreville, MD · Oncology Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.