Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 165 | NH |
NPI | 1336128735 |
---|---|
Provider Name | Dr. John Joseph Hammond |
First Address | Wolfeboro Falls, NH 03896-0818 |
Second Address | Wolfeboro, NH 03894-4328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 12/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
80488254 | (05) | NH |
T25730 | (02) | NH |