Provider Demographics
NPI:1598470551
Name:GREENSPRING PERSONAL ONCOLOGY LLC
Entity Type:Organization
Organization Name:GREENSPRING PERSONAL ONCOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLOSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-509-0710
Mailing Address - Street 1:2328 W JOPPA RD STE 310
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4685
Mailing Address - Country:US
Mailing Address - Phone:410-583-7122
Mailing Address - Fax:
Practice Address - Street 1:2328 W JOPPA RD STE 310
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4685
Practice Address - Country:US
Practice Address - Phone:410-583-7122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Single Specialty