Provider Demographics
NPI:1194758227
Name:HOHENWARTER, ADRIAN J (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:J
Last Name:HOHENWARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:745 SOUTH GRANT STREET
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-3215
Mailing Address - Country:US
Mailing Address - Phone:717-832-5993
Mailing Address - Fax:717-832-6224
Practice Address - Street 1:745 SOUTH GRANT STREET
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:PA
Practice Address - Zip Code:17078-3215
Practice Address - Country:US
Practice Address - Phone:717-832-5993
Practice Address - Fax:717-832-6224
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD046324-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG40872Medicare UPIN