Provider Demographics
NPI:1710336334
Name:HYPPOLITE-PEDROSO, ERLYNE (MD)
Entity Type:Individual
Prefix:
First Name:ERLYNE
Middle Name:
Last Name:HYPPOLITE-PEDROSO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ERLYNE
Other - Middle Name:
Other - Last Name:HYPPOLITE- PEDROSO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6401 AMERICA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2357
Mailing Address - Country:US
Mailing Address - Phone:217-902-5291
Mailing Address - Fax:
Practice Address - Street 1:6401 AMERICA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-2357
Practice Address - Country:US
Practice Address - Phone:855-910-3278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-04
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0092892207Q00000X
IL036147846207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine