Basic Information
Provider Information
NPI: 1568754612
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOBART
FirstName: SARAH
MiddleName: JANE
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8322 BELLONA AVE STE 100
Address2:  
City: TOWSON
State: MD
PostalCode: 212042065
CountryCode: US
TelephoneNumber: 4103377900
FaxNumber: 4103375321
Practice Location
Address1: 8322 BELLONA AVE STE 100
Address2:  
City: TOWSON
State: MD
PostalCode: 212042065
CountryCode: US
TelephoneNumber: 4103377900
FaxNumber: 4103375321
Other Information
ProviderEnumerationDate: 05/09/2011
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XD0083679MDY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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