Provider Demographics
NPI:1114903531
Name:HYNES, NOREEN A (MD)
Entity Type:Individual
Prefix:DR
First Name:NOREEN
Middle Name:A
Last Name:HYNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 N THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-2405
Mailing Address - Country:US
Mailing Address - Phone:703-524-8413
Mailing Address - Fax:
Practice Address - Street 1:1503 E JEFFERSON ST
Practice Address - Street 2:JHU-SOM BOND STREET ANNEX SUITE 114
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0018
Practice Address - Country:US
Practice Address - Phone:410-614-7196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-17
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0052112207RI0200X, 207R00000X
MA60659207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine