MEDICARE: ELIZA MARIE HUEBNER M.D.

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	208000000X	Pediatrics Physician	D0087433	MD

General Provider Information

NPI Number	:	1427410455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZA MARIE HUEBNER M.D.

Provider Business Mailing Address
First Line	:	1521 RITCHIE HWY STE 201
Second Line	:
City	:	ARNOLD
State	:	MD
Zip	:	21012-2706
Country	:	US
Telephone Number	:	443-354-4504
Fax Number	:	443-352-0685

Provider Business Practice Location Address
First Line	:	1521 RITCHIE HWY STE 201
Second Line	:
City	:	ARNOLD
State	:	MD
Zip	:	21012-2706
Country	:	US
Telephone Number	:	443-354-4504
Fax Number	:	443-352-0685

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

Provider Enumeration Date	:	03/29/2016
Last Update Date	:	12/01/2025

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