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Mr. Edmund W Hooven JR., PA-C
Surgical Physician Assistant in Baltimore, Maryland
NPI 1881631174

Edmund W Hooven JR. is a Surgical Physician Assistant based in Baltimore, MD and is specialized in Surgical. Edmund W Hooven JR. practices in Baltimore, MD and has the professional credentials of PA-C. The NPI Number for Edmund W Hooven JR. is 1881631174 and holds a License No. C0001399 (Maryland).

The current practice location address for Edmund W Hooven JR. is 2435 W Belvedere Ave, Baltimore, MD and can be reached out via phone at 410-601-0900 and via fax at 410-601-0901.

Location: 2435 W Belvedere Ave, Baltimore, MD, 21215-5216
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Provider Profile Details
NPI Number
1881631174
Provider Name
Edmund W Hooven JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2435 W Belvedere Ave, Baltimore, MD, 21215-5216
Phone Number
410-601-0900
Fax Number
410-601-0901
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00236585 01 MD R/R MEDICARE PROVIDER #
CA8374 01 MD R/R MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
2435 W Belvedere Ave
City
State
Zip
21215-5224
Phone Number
410-601-0900
Fax Number
410-601-0901
person
Provider Business Mailing Address Details
Address
2435 W Belvedere Ave
City
State
Zip
21215-5224
Phone Number
410-601-0900
Fax Number
410-601-0901
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
C0001399 (Maryland)
Definition
Definition to come...
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