Healthcare Provider Details
I. General information
NPI: 1861872855
Provider Name (Legal Business Name): TALIA ALYSSA SAVIC HITT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/04/2015
Last Update Date: 05/27/2022
Certification Date: 05/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 N WOLFE STREET RUBENSTEIN 3111
BALTIMORE MD
21287
US
IV. Provider business mailing address
6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US
V. Phone/Fax
- Phone: 410-955-6463
- Fax: 410-500-4276
- Phone: 410-933-6423
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | MT208236 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0205X |
| Taxonomy | Pediatric Endocrinology Physician |
| License Number | D91610 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: