MEDICARE: DAVID AARON HAMMER 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
1	2084N0400X	Neurology Physician	262653	MA
2	390200000X	Student in an Organized Health Care Education/Training Program	M0218005	PA
3	390200000X	Student in an Organized Health Care Education/Training Program
4	2084N0400X	Neurology Physician	MD469935	PA

General Provider Information

NPI Number	:	1811307507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID AARON HAMMER M.D.

Provider Business Mailing Address
First Line	:	5401 OLD YORK RD STE 404
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19141-3046
Country	:	US
Telephone Number	:	154-567-1902
Fax Number	:	215-456-7308

Provider Business Practice Location Address
First Line	:	5401 OLD YORK RD STE 404
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19141-3046
Country	:	US
Telephone Number	:	215-456-7190
Fax Number	:	215-456-7308

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

Provider Enumeration Date	:	05/02/2014
Last Update Date	:	07/07/2021

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