MEDICARE: DR. HILARY JOYCE VERNON M.D., PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	P20049	MD
2	208000000X	Pediatrics Physician	D68956	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245380047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HILARY JOYCE VERNON M.D., PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 64316
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21264-4316
Country	:	US
Telephone Number	:	410-955-3071
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 NORTH WOLFE STREET
Second Line	:	DEPARTMENT OF PEDIATRICS, CMSC 2-124
City	:	BALTIMORE
State	:	MD
Zip	:	21287-3224
Country	:	US
Telephone Number	:	410-614-4493
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	03/01/2013

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