Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 5918 | NH |
NPI | 1053364406 |
---|---|
Provider Name | Dr. Denis Brin Hammond |
First Address | Bedford, NH 03110-4907 |
Second Address | Bedford, NH 03110-4907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 19/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00000372 | (05) | NH |
E27753 | (02) | NH |