Healthcare Provider Details

I. General information

NPI: 1720053069
Provider Name (Legal Business Name): FRANKLIN R HEPFER P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 11/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BESTGATE RD STE 400
ANNAPOLIS MD
21401-3371
US

IV. Provider business mailing address

1000 BESTGATE RD STE 400
ANNAPOLIS MD
21401-3371
US

V. Phone/Fax

Practice location:
  • Phone: 410-266-2720
  • Fax:
Mailing address:
  • Phone: 102-662-7204
  • Fax: 410-224-0209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberC0002322
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: