Healthcare Provider Details

I. General information

NPI: 1891084513
Provider Name (Legal Business Name): ANDREW SCOTT MENER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10710 CHARTER DR
COLUMBIA MD
21044-3128
US

IV. Provider business mailing address

10710 CHARTER DRIVE MARYLAND ONCOLOGY HEMATOLOGY PA
COLUMBIA MD
21044
US

V. Phone/Fax

Practice location:
  • Phone: 410-964-2212
  • Fax: 410-964-1111
Mailing address:
  • Phone: 410-964-2212
  • Fax: 410-964-1111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberD0082736
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: