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THERAPEUTIC RADIOLOGY ASSO P.A. NPI 1386791200


NPI Information

NPI: 1386791200
Provider Name: THERAPEUTIC RADIOLOGY ASSO, P.A.
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
11110 MEDICAL CAMPUS RD
SUITE 129
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 665-4650
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THERAPEUTIC RADIOLOGY ASSO, P.A. is a radiation oncology radiology in Hagerstown, MD. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. THERAPEUTIC RADIOLOGY ASSO, P.A. NPI is 1386791200. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11110 MEDICAL CAMPUS RD
SUITE 129
HAGERSTOWN, MD
ZIP 21742-700
Phone: (301) 665-4650
Fax: (301) 665-4648

The provider's authorized official is Dan Roger Cornell .
The authorized official title is President and has the following contact phone number (301) 665-4650.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 8/2/2010.


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
12085R0001XRadiologyRadiation OncologyD0039518MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1147891500MEDICAIDMARYLAND
2F27576MEDICARE UPINMARYLAND
3005LMEDICARE ID-TYPE UNSPECIFIEDMARYLAND

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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