Healthcare Provider Details

I. General information

NPI: 1174764690
Provider Name (Legal Business Name): DAVID J. HOYT , MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2009
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4A NORTH AVE SUITE202
BEL AIR MD
21014-2328
US

IV. Provider business mailing address

4A NORTH AVE SUITE202
BEL AIR MD
21014-2328
US

V. Phone/Fax

Practice location:
  • Phone: 410-420-0057
  • Fax: 410-420-0071
Mailing address:
  • Phone: 410-420-0057
  • Fax: 410-420-0071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberD47359
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number00797
License Number StateMD

VIII. Authorized Official

Name: DR. DAVID JAMES HOYT
Title or Position: OWNER
Credential: M.D.
Phone: 410-420-0057