MEDICARE: DR. BETTY HAMMOND 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	207Q00000X	Family Medicine Physician	25MA03951900	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01018734	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0133234000	OTHER	NJ	AMERIHEALTH #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	5314355	OTHER	NJ	AETNA PPO #
5	P00399721	OTHER	NJ	RR MDCR #
6	P3653491	OTHER	NJ	OXFORD #
7	6D0901	OTHER	NJ	EMPIRE BC/BS #
8	1139979	OTHER	NJ	AETNA HMO #
9	3K2135	OTHER	NJ	HEALTHNET #

General Provider Information

NPI Number	:	1952345753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETTY HAMMOND M.D.

Provider Business Mailing Address
First Line	:	66 W GILBERT ST
Second Line	:	2ND FLOOR
City	:	TINTON FALLS
State	:	NJ
Zip	:	07701-4947
Country	:	US
Telephone Number	:	732-212-0051
Fax Number	:	732-212-0713

Provider Business Practice Location Address
First Line	:	18 CENTRE DR
Second Line	:	SUITE 104
City	:	MONROE TOWNSHIP
State	:	NJ
Zip	:	08831-1501
Country	:	US
Telephone Number	:	609-655-5178
Fax Number	:	609-655-5284

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	05/08/2012

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