Individual
DR. THOMAS HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 LIBERTY RD, SUITE 100, ELDERSBURG, MD 21784-7949
(410) 549-0900
(410) 549-6121
Mailing address
1010 LIBERTY RD, SUITE 100, ELDERSBURG, MD 21784-7949
(410) 549-0900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0054033
MD
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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