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CARROLL REGIONAL CANCER CENTER PHYSICIANS LLC NPI 1609167998


NPI Information

NPI: 1609167998
Provider Name: CARROLL REGIONAL CANCER CENTER PHYSICIANS, LLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
291 STONER AVE
WESTMINSTER, MD
ZIP 21157
Phone: (410) 871-6400
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CARROLL REGIONAL CANCER CENTER PHYSICIANS, LLC is a hematology and oncology internal medicine in Westminster, MD. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. CARROLL REGIONAL CANCER CENTER PHYSICIANS, LLC NPI is 1609167998. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

291 STONER AVE
WESTMINSTER, MD
ZIP 21157-647
Phone: (410) 871-6400
Fax: (410) 871-6248

The provider's authorized official is Michael Myers .
The authorized official title is Vice President and has the following contact phone number (410) 871-6114.

The enumeration date for this NPI number is 4/21/2011 and was last updated on 11/14/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyNo
2207RH0003XInternal MedicineHematology & OncologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1336632400MEDICAIDMARYLAND

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: 5/5/2024

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