Healthcare Provider Details

I. General information

NPI: 1326003351
Provider Name (Legal Business Name): MAGED I HOSNY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 03/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 BEISER BLVD STE 201
DOVER DE
19904-7790
US

IV. Provider business mailing address

PO BOX 723
MILFORD DE
19963-0763
US

V. Phone/Fax

Practice location:
  • Phone: 302-678-7438
  • Fax: 302-678-7434
Mailing address:
  • Phone: 302-678-7438
  • Fax: 302-678-7434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberC10005894
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: