Most Relevant Information
Provider Data
| NPI Number: | 1003697772 |
| Provider Name: | JOSHUA HAGAN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 349665 |
Most Important Dates
| Enumeration Date: | 10/10/2023 |
| Last Updated: | 10/10/2023 |
Provider Practice Location
220 W COLD SPRING LN
BALTIMORE
MD
212102802
Practice Location Phone/Fax
| Phone: | 4433907200 |
| Fax: |
Provider Mailing Location
3850 BOSTON ST APT 3072
BALTIMORE
MD
212245767
Provider Mailing Phone/Fax
| Phone: | 5854137485 |
| Fax: |