MEDICARE: ROBERT WAYMAN HAMILTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	MD25089L	PA

General Provider Information

NPI Number	:	1316148091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT WAYMAN HAMILTON

Provider Business Mailing Address
First Line	:	408 MIDDLESEX RD
Second Line	:
City	:	MCKEESPORT
State	:	PA
Zip	:	15135-3327
Country	:	US
Telephone Number	:	412-751-2339
Fax Number	:

Provider Business Practice Location Address
First Line	:	408 MIDDLESEX RD
Second Line	:
City	:	MCKEESPORT
State	:	PA
Zip	:	15135-3327
Country	:	US
Telephone Number	:	412-751-2339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	07/08/2007

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