Provider Demographics
NPI:1154300937
Name:ADJEI, BETTINA SARAH (MD)
Entity Type:Individual
Prefix:
First Name:BETTINA
Middle Name:SARAH
Last Name:ADJEI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BETTINA
Other - Middle Name:SARAH
Other - Last Name:HOYTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:193 STONER AVE 100
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5782
Mailing Address - Country:US
Mailing Address - Phone:410-871-6113
Mailing Address - Fax:410-871-6227
Practice Address - Street 1:1311 LONDONTOWN BLVD
Practice Address - Street 2:SUITE 130
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784
Practice Address - Country:US
Practice Address - Phone:410-549-7222
Practice Address - Fax:410-549-7224
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0059290174400000X
MDD59290146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No174400000XOther Service ProvidersSpecialist