Healthcare Provider Details

I. General information

NPI: 1144647058
Provider Name (Legal Business Name): ANNE PRENTIS HUTCHINSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2014
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 CONTINENTAL DR STE 114
NEWARK DE
19713-4302
US

IV. Provider business mailing address

9600 BLACKWELL RD STE 500
ROCKVILLE MD
20850-3783
US

V. Phone/Fax

Practice location:
  • Phone: 302-467-1898
  • Fax: 302-467-1884
Mailing address:
  • Phone:
  • Fax: 302-467-1884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD472672
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberC1-0024223
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: