Healthcare Provider Details

I. General information

NPI: 1093870685
Provider Name (Legal Business Name): ROBERT WILLIAM HILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NATIONAL NAVAL MEDICAL CTR,DEPT. OF SURGERY 8901 WISCONSIN AVE
BETHESDA MD
20889-5600
US

IV. Provider business mailing address

24516 MORGAN RD
HOLLYWOOD MD
20636-2015
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4442
  • Fax: 301-295-0959
Mailing address:
  • Phone: 301-373-4933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberD0035119
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: