MEDICARE: PETER G UGGOWITZER MD

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	207Q00000X	Family Medicine Physician	D0038489	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	:	1255333274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER G UGGOWITZER MD

Provider Business Mailing Address
First Line	:	814 HOUCKSVILLE RD
Second Line	:
City	:	HAMPSTEAD
State	:	MD
Zip	:	21074-1882
Country	:	US
Telephone Number	:	410-239-0406
Fax Number	:	410-239-0407

Provider Business Practice Location Address
First Line	:	814 HOUCKSVILLE RD
Second Line	:
City	:	HAMPSTEAD
State	:	MD
Zip	:	21074-1882
Country	:	US
Telephone Number	:	410-239-0406
Fax Number	:	410-239-0407

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	03/14/2025

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