Healthcare Provider Details

I. General information

NPI: 1174886642
Provider Name (Legal Business Name): HYPERHEAL HYPERBARICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2012
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 OLD PADONIA ROAD SUITE 102
COCKEYSVILLE MD
21030
US

IV. Provider business mailing address

110 OLD PADONIA RD STE 102
COCKEYSVILLE MD
21030-4944
US

V. Phone/Fax

Practice location:
  • Phone: 410-433-4300
  • Fax: 401-832-3119
Mailing address:
  • Phone: 410-433-4300
  • Fax: 401-832-3119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANTIONETTE MULL
Title or Position: OFFICE MANAGER
Credential:
Phone: 410-433-4300