Individual
SCOTT D HAGAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 DUTTON AVE, CATONSVILLE, MD 21228
(410) 455-0366
Mailing address
6614 WINDSOR CT, COLUMBIA, MD 21044
(410) 455-0366
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
D0031477
MD
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D0031477
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
558791300
—
MD
Enumeration date
10/06/2006
Last updated
08/11/2017
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