Healthcare Provider Details

I. General information

NPI: 1780652453
Provider Name (Legal Business Name): PAUL J. HOEHNER MD, MA, FAHA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 02/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4940 EASTERN AVE A5W-588
BALTIMORE MD
21224-2735
US

IV. Provider business mailing address

460 SKI LN
MILLERSVILLE MD
21108-1955
US

V. Phone/Fax

Practice location:
  • Phone: 410-550-0942
  • Fax: 410-550-0443
Mailing address:
  • Phone: 434-249-0544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number19460
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD35667
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: