Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 15587 | MA |
NPI | 1164441762 |
---|---|
Provider Name | Norman J. Hammer |
First Address | Boston, MA 02109-3905 |
Second Address | Boston, MA 02109-3905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 08/07/2007 |