Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD011726E | PA |
Y | 111NI0900X | Internist | MD011726E | PA |
N | 207RH0000X | Hematologist | MD011726E | PA |
NPI | 1477634426 |
---|---|
Provider Name | Robert W Hamilton |
First Address | Hershey, PA 17033-2012 |
Second Address | Hershey, PA 17033-2012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 04/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0006662660003 | (05) | PA |
D71147 | (02) |