# FAITH HACKETT, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336307032
- **Authorized official:** FAITH ALICE HACKETT M.D. (OWNER)
- **Authorized official phone:** (410) 647-8300

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | D32426 | MD | Yes |

## Other

- **Enumeration date:** 05/29/2008
- **Last updated:** 05/29/2008