Provider Demographics
NPI:1710984976
Name:LIGHT-DEUTSCH, HILARY (MD)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:
Last Name:LIGHT-DEUTSCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11325 SEVEN LOCKS RD
Mailing Address - Street 2:SUITE 238
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3205
Mailing Address - Country:US
Mailing Address - Phone:301-299-8930
Mailing Address - Fax:301-299-8933
Practice Address - Street 1:11325 SEVEN LOCKS RD
Practice Address - Street 2:SUITE 238
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3205
Practice Address - Country:US
Practice Address - Phone:301-299-8930
Practice Address - Fax:301-299-8933
Is Sole Proprietor?:No
Enumeration Date:2005-07-02
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0046035208000000X
DCMD20725208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
824889OtherMAMSI
MD910821100Medicaid
C043-0006OtherCAREFIRST
1200874OtherUNITED HEALTHCARE