Healthcare Provider Details

I. General information

NPI: 1679551865
Provider Name (Legal Business Name): DAVID FORBES HUTCHEON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 03/28/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10751 FALLS RD SUITE 401
LUTHERVILLE TIMONIUM MD
21093-4517
US

IV. Provider business mailing address

10751 FALLS RD SUITE 401
LUTHERVILLE TIMONIUM MD
21093-4517
US

V. Phone/Fax

Practice location:
  • Phone: 410-583-2631
  • Fax: 410-583-2845
Mailing address:
  • Phone: 410-583-2631
  • Fax: 410-583-2845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberD0018042
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: