Healthcare Provider Details

I. General information

NPI: 1154300937
Provider Name (Legal Business Name): BETTINA SARAH ADJEI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETTINA SARAH HOYTE

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 12/01/2021
Certification Date: 12/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 LONDONTOWN BLVD SUITE 130
ELDERSBURG MD
21784
US

IV. Provider business mailing address

193 STONER AVE 100
WESTMINSTER MD
21157-5782
US

V. Phone/Fax

Practice location:
  • Phone: 410-549-7222
  • Fax: 410-549-7224
Mailing address:
  • Phone: 410-871-6113
  • Fax: 410-871-6227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License NumberD59290
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD0059290
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: