Provider Demographics
NPI:1023217205
Name:HAMILTON, ROBERT GORDON (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GORDON
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ROOM 1A20, JHU-ASTHMA ALLERGY CENTER
Mailing Address - Street 2:5501 HOPKINS BAYVIEW CIRCLE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224
Mailing Address - Country:US
Mailing Address - Phone:410-550-2031
Mailing Address - Fax:410-550-2030
Practice Address - Street 1:5501 HOPKINS BAYVIEW CIR
Practice Address - Street 2:ROOM 1A20, JH ASTHMA ALLERGY CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-6821
Practice Address - Country:US
Practice Address - Phone:410-550-2031
Practice Address - Fax:410-550-2030
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD310246QI0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QI0000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyImmunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
W560Medicare UPIN