Provider Demographics
NPI:1972613602
Name:HUNN, JONATHAN SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:SCOTT
Last Name:HUNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6030 MARSHALEE DR
Mailing Address - Street 2:SUITE #601
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-5987
Mailing Address - Country:US
Mailing Address - Phone:301-437-1141
Mailing Address - Fax:410-796-6583
Practice Address - Street 1:6030 MARSHALEE DR
Practice Address - Street 2:SUITE #601
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-5987
Practice Address - Country:US
Practice Address - Phone:301-437-1141
Practice Address - Fax:410-796-6583
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00563282085R0202X
DCMD330172085R0202X
VA01012278532085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H53199Medicare UPIN
FMA008Medicare ID - Type Unspecified