Healthcare Provider Details

I. General information

NPI: 1417917477
Provider Name (Legal Business Name): NANCY M HAMMOND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 04/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S CATON AVE
BALTIMORE MD
21229-5299
US

IV. Provider business mailing address

900 S CATON AVE
BALTIMORE MD
21229-5299
US

V. Phone/Fax

Practice location:
  • Phone: 667-234-2107
  • Fax:
Mailing address:
  • Phone: 667-234-2107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD0042227
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: