Provider Demographics
NPI:1326003351
Name:HOSNY, MAGED I (MD)
Entity Type:Individual
Prefix:
First Name:MAGED
Middle Name:I
Last Name:HOSNY
Suffix:
Gender:M
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:PO BOX 723
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-0763
Mailing Address - Country:US
Mailing Address - Phone:302-678-7438
Mailing Address - Fax:302-678-7434
Practice Address - Street 1:260 BEISER BLVD STE 201
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-7790
Practice Address - Country:US
Practice Address - Phone:302-678-7438
Practice Address - Fax:302-678-7434
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10005894207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0001051001Medicaid
DE0001051001Medicaid
DE003062C96Medicare PIN