Healthcare Provider Details

I. General information

NPI: 1780264036
Provider Name (Legal Business Name): ERIC EDWARD HAMMOND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2696
US

IV. Provider business mailing address

104 ENDICOTT ST STE 2-200
DANVERS MA
01923-3688
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-8278
  • Fax: 617-726-8700
Mailing address:
  • Phone: 978-882-6287
  • Fax: 978-882-6828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number1029028
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: