Individual
DR. DAVID J HACKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-2717
(410) 502-5314
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 955-2717
(410) 502-5314
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
D78585
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001897212
—
PA
Enumeration date
02/13/2006
Last updated
03/30/2023
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