Healthcare Provider Details

I. General information

NPI: 1801983713
Provider Name (Legal Business Name): BARBARA A HUTCHINSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 06/20/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16900 SCIENCE DR STE 200
BOWIE MD
20715-4425
US

IV. Provider business mailing address

16900 SCIENCE DR STE 200
BOWIE MD
20715-4425
US

V. Phone/Fax

Practice location:
  • Phone: 410-573-9805
  • Fax: 410-573-9806
Mailing address:
  • Phone: 410-573-9805
  • Fax: 410-573-9806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0050016
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: