Provider Demographics
NPI:1346272416
Name:HOOVER, BENJAMIN ANDREW II (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:ANDREW
Last Name:HOOVER
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:924 COLONIAL AVE STE B
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3450
Practice Address - Country:US
Practice Address - Phone:717-845-8623
Practice Address - Fax:717-843-6682
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-12-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD029002L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA030078OtherJOHNS HOPKINS
PA40143OtherGEISINGER
PA4606017OtherAETNA
PA032860OtherHIGHMARK BLUE SHIELD
MD543241OtherCAREFIRST MD BCBS
PA032860Medicare PIN
PA030078OtherJOHNS HOPKINS