MEDICARE: DR. RICHARD HOPPE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	MD439453	PA

General Provider Information

NPI Number	:	1033372388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD HOPPE MD

Provider Business Mailing Address
First Line	:	24 FERNS CT
Second Line	:
City	:	LUTHERVILLE TIMONIUM
State	:	MD
Zip	:	21093-7478
Country	:	US
Telephone Number	:	732-801-3329
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 FERNS CT
Second Line	:
City	:	LUTHERVILLE TIMONIUM
State	:	MD
Zip	:	21093-7478
Country	:	US
Telephone Number	:	732-801-3329
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2008
Last Update Date	:	08/24/2010

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