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NPI Code Detail

MEDICARE: DR. MAGGIE MACKENZIE HOOVEN DO

MEDICARE: DR. MAGGIE MACKENZIE HOOVEN DO
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
1208000000XPediatrics PhysicianOT022959PA

General Provider Information

NPI Number : 1477257152
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAGGIE MACKENZIE HOOVEN DO
Provider Business Mailing Address
First Line : 500 N 21ST ST APT 430
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-4243
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 HAMILTON ST STE 301
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-3874
Country : US
Telephone Number : 215-774-1166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2023
Last Update Date : 06/10/2026

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