Provider Demographics
NPI:1861404022
Name:HOOFNAGLE, ROBERT F JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:HOOFNAGLE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 NORTH AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2303
Mailing Address - Country:US
Mailing Address - Phone:443-643-9900
Mailing Address - Fax:443-643-9999
Practice Address - Street 1:2 NORTH AVE STE 102
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2303
Practice Address - Country:US
Practice Address - Phone:443-643-9900
Practice Address - Fax:443-643-9999
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD35873208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD143P351GMedicare PIN
MDE89215Medicare UPIN