Individual
DR. WILLIAM JOSEPH HICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 CATON AVE, BALTIMORE, MD 21229-5201
(410) 368-3050
(410) 368-3572
Mailing address
900 CATON AVE, BALTIMORE, MD 21229-5201
(410) 368-3050
(410) 368-3572
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
D04964
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61489901
BLUE SHIELD
MD
01
—
W2270001
BLUE SHIELD
DC
Enumeration date
07/25/2006
Last updated
07/08/2007
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