Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.132058 | OH |
Y | 2080P0202X | Pediatric Cardiologist | 35.132058 | OH |
NPI | 1184043325 |
---|---|
Provider Name | Benjamin Harlan Hammond |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 02/03/2021 |