MEDICARE: MARYANN D. HOOKER 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	2084N0400X	Neurology Physician	C10007111	DE
2	2084N0400X	Neurology Physician	MD044513E	PA

General Provider Information

NPI Number	:	1760467518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARYANN D. HOOKER MD

Provider Business Mailing Address
First Line	:	1601 KIRKWOOD HWY
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19805-4917
Country	:	US
Telephone Number	:	302-633-5302
Fax Number	:	302-633-5582

Provider Business Practice Location Address
First Line	:	1601 KIRKWOOD HWY
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19805-4917
Country	:	US
Telephone Number	:	302-633-5302
Fax Number	:	302-633-5582

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

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	07/08/2007

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