Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD439453 | PA |
NPI | 1033372388 |
---|---|
Provider Name | Dr. Richard Hoppe |
First Address | Lutherville Timonium, MD 21093-7478 |
Second Address | Lutherville Timonium, MD 21093-7478 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 24/08/2010 |