Healthcare Provider Details

I. General information

NPI: 1952407264
Provider Name (Legal Business Name): HILARY B WHITLATCH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 LINDEN AVE FL 2
BALTIMORE MD
21201-4622
US

IV. Provider business mailing address

800 LINDEN AVE FL 2
BALTIMORE MD
21201-4622
US

V. Phone/Fax

Practice location:
  • Phone: 443-682-6800
  • Fax: 443-552-2991
Mailing address:
  • Phone: 617-821-9867
  • Fax: 443-462-3514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberD81118
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: