Provider Demographics
NPI:1619920261
Name:HOTCHKISS, LARRY STEPHAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:STEPHAN
Last Name:HOTCHKISS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9135 PISCATAWAY RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2549
Mailing Address - Country:US
Mailing Address - Phone:301-868-3899
Mailing Address - Fax:301-868-3506
Practice Address - Street 1:9135 PISCATAWAY RD
Practice Address - Street 2:SUITE 102
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2549
Practice Address - Country:US
Practice Address - Phone:301-868-3899
Practice Address - Fax:301-868-3506
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00370213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
480024876Medicare PIN
MD325P645GMedicare PIN
MDT30859Medicare UPIN
DC078497K56Medicare PIN