Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | D0054528 | MD |
NPI | 1013082049 |
---|---|
Provider Name | Dr. Sheila M Hofert |
First Address | Baltimore, MD 21224-2734 |
Second Address | Baltimore, MD 21224-2735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 18/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
473102600 | (05) | MD |
697045 | (02) | MD |