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Organization

FAITH HACKETT, M.D.

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Organization

FAITH HACKETT, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FAITH ALICE HACKETT M.D. (OWNER)
(410) 647-8300
Entity
Organization

Contact information

Practice address
844 RITCHIE HWY, SUITE 206, SEVERNA PARK, MD 21146-4127
(410) 647-8300
(410) 315-8444
Mailing address
844 RITCHIE HWY, SUITE 206, SEVERNA PARK, MD 21146-4127
(410) 647-8300
(410) 315-8444

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D32426
MD

Other

Enumeration date
05/29/2008
Last updated
05/29/2008
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