Healthcare Provider Details

I. General information

NPI: 1740397991
Provider Name (Legal Business Name): DONA C HOBART MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

193 STONER AVE STE 220
WESTMINSTER MD
21157-6881
US

IV. Provider business mailing address

193 STONER AVE STE 220
WESTMINSTER MD
21157-6881
US

V. Phone/Fax

Practice location:
  • Phone: 410-848-7080
  • Fax: 410-871-6534
Mailing address:
  • Phone: 410-848-7080
  • Fax: 410-871-6534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberD0053519
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: