Healthcare Provider Details

I. General information

NPI: 1619920477
Provider Name (Legal Business Name): ANDREW SATINSKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 05/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 SURRATTS RD. SUITE 108 SOUTHERN MARYLAND HOSPITAL CENTER
CLINTON MD
20735
US

IV. Provider business mailing address

7501 SURRATTS RD. SUITE 108 SOUTHERN MARYLAND HOSPITAL CENTER
CLINTON MD
20735
US

V. Phone/Fax

Practice location:
  • Phone: 301-868-1100
  • Fax:
Mailing address:
  • Phone: 301-868-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number34438
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License NumberDO041273
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: