Provider Demographics
NPI:1427410455
Name:HUEBNER, ELIZA MARIE (MD)
Entity Type:Individual
Prefix:
First Name:ELIZA
Middle Name:MARIE
Last Name:HUEBNER
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 1:251 NAJOLES RD STE E
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-2519
Mailing Address - Country:US
Mailing Address - Phone:410-729-0690
Mailing Address - Fax:
Practice Address - Street 1:251 NAJOLES RD STE E
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-2519
Practice Address - Country:US
Practice Address - Phone:410-729-0690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0087433208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics