Individual
DR. JON A HUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
888 BESTGATE RD STE 300, ANNAPOLIS, MD 21401-2955
(410) 964-8346
(410) 964-8350
Mailing address
8860 COLUMBIA 100 PKWY STE 400, COLUMBIA, MD 21045-2384
(410) 964-8346
(410) 964-8350
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D59555
MD
2086S0129X
Vascular Surgery Physician
Primary
D59555
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037082900
—
DC
05
—
402784100
—
MD
Enumeration date
08/02/2006
Last updated
09/04/2019
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