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MARYLAND PROTON TREATMENT CENTER LLC NPI 1255742375


NPI Information

NPI: 1255742375
Provider Name: MARYLAND PROTON TREATMENT CENTER, LLC

Doing Business As: MARYLAND PROTON TREATMENT CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
850 W BALTIMORE ST
BALTIMORE, MD
ZIP 21201
Phone: (410) 369-5200
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MARYLAND PROTON TREATMENT CENTER, LLC is a clinic center in Baltimore, MD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MARYLAND PROTON TREATMENT CENTER, LLC NPI is 1255742375. The provider is registered as an organization entity type.
The provider Is Doing Business As Maryland Proton Treatment Center.

The provider's business location address is:

850 W BALTIMORE ST
BALTIMORE, MD
ZIP 21201-110
Phone: (410) 369-5200
Fax: (410) 347-0870

The provider's authorized official is Shareef Mostafa Batata .
The authorized official title is Chief Financial Officer and has the following contact phone number (410) 369-5223.

The enumeration date for this NPI number is 5/12/2014 and was last updated on 2/25/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterMM483MARYLANDYes
2261QR0200XClinic/CenterRadiologyMM483MARYLANDNo
3261QX0203XClinic/CenterOncology, RadiationMM483MARYLANDNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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