Healthcare Provider Details

I. General information

NPI: 1861483752
Provider Name (Legal Business Name): CLAUS HAMANN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 01/03/2020
Certification Date: 01/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 COMPUTER DR STE 301
WESTBOROUGH MA
01581-1790
US

IV. Provider business mailing address

797 WILSON ST BEACON HEALTH
BREWER ME
04412-1000
US

V. Phone/Fax

Practice location:
  • Phone: 617-420-5316
  • Fax:
Mailing address:
  • Phone: 207-973-5692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number75389
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number75389
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberMD20639
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: