Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 065084 | NJ |
NPI | 1073593224 |
---|---|
Provider Name | Audrey M Hamilton |
First Address | New York, NY 10017-6706 |
Second Address | Denville, NJ 07834-2954 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F73550 | (02) |