Doctor Name: | PETER HINDERBERGER |
NPI Number: | 1588756472 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D0030648 |
Business Practice Address: | 4801 Yellowwood Ave Baltimore, MD - 212094622 |
Business Phone Number: | 4103676263 |
Business Fax Number: | |
Mailing Address: | 4801 Yellowwood Ave, BALTIMORE |
State: | MD |
Postal Code: | 212094622 |
Phone Number: | 4103676263 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0030648 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |