Doctor Name: | MR. JOSEPH M HUBICKI |
NPI Number: | 1326142845 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PAC |
License Number: | C00591 |
Business Practice Address: | 4924 Campbell Boulevard White Marsh, MD - 21236 |
Business Phone Number: | 4434422300 |
Business Fax Number: | 4434422360 |
Mailing Address: | 3100 Wyman Park Drive, Suite 359a BALTIMORE |
State: | MD |
Postal Code: | 21211 |
Phone Number: | 4103383016 |
Fax Number: | 4103383420 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 01/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | C00591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |