Provider Demographics
NPI:1780652453
Name:HOEHNER, PAUL J (MD, MA, FAHA)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:HOEHNER
Suffix:
Gender:M
Credentials:MD, MA, FAHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 SKI LN
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1955
Mailing Address - Country:US
Mailing Address - Phone:434-249-0544
Mailing Address - Fax:
Practice Address - Street 1:4940 EASTERN AVE
Practice Address - Street 2:A5W-588
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2735
Practice Address - Country:US
Practice Address - Phone:410-550-0942
Practice Address - Fax:410-550-0443
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH19460207L00000X
MDD35667207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC037498500Medicaid
MD018844S48Medicare ID - Type Unspecified
DC037498500Medicaid