Provider Demographics
NPI:1659514271
Name:HOULIHAN, HILDA IMELIO
Entity Type:Individual
Prefix:DR
First Name:HILDA
Middle Name:IMELIO
Last Name:HOULIHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 TOADVINE RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-9245
Mailing Address - Country:US
Mailing Address - Phone:410-742-1660
Mailing Address - Fax:410-546-2235
Practice Address - Street 1:1318 TOADVINE RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-9245
Practice Address - Country:US
Practice Address - Phone:410-742-1660
Practice Address - Fax:410-546-2235
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-13
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0004883207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine