Healthcare Provider Details

I. General information

NPI: 1336128735
Provider Name (Legal Business Name): JOHN JOSEPH HAMMOND D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 01/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 MILL ST UNIT D5
WOLFEBORO NH
03894-4328
US

IV. Provider business mailing address

PO BOX 818
WOLFEBORO FALLS NH
03896-0818
US

V. Phone/Fax

Practice location:
  • Phone: 603-569-4761
  • Fax: 603-569-4761
Mailing address:
  • Phone: 603-569-4761
  • Fax: 603-569-4761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number165
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: