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NPI Code Detail

MEDICARE: CECELIA LYNN HAMILTON M.D.

MEDICARE:   CECELIA LYNN HAMILTON  M.D.
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
1207N00000XDermatology Physician35062417OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1070013387OTHEROHRAILROAD MEDICARE

General Provider Information

NPI Number : 1780683763
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECELIA LYNN HAMILTON M.D.
Provider Business Mailing Address
First Line : 37159 LANDINGS DR
Second Line :
City : SOLON
State : OH
Zip : 44139-2474
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5 SEVERANCE CIR
Second Line : SUITE 205
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-1566
Country : US
Telephone Number : 216-382-7072
Fax Number : 216-691-3944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 05/05/2015

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Directions to “ CECELIA LYNN HAMILTON M.D.” Practice Location

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