Provider Demographics
NPI:1083971030
Name:HAMMOND, N LEROY III (MD)
Entity Type:Individual
Prefix:
First Name:N
Middle Name:LEROY
Last Name:HAMMOND
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 RIGHTERS MILL RD
Mailing Address - Street 2:
Mailing Address - City:GLADWYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19035-1543
Mailing Address - Country:US
Mailing Address - Phone:610-658-2344
Mailing Address - Fax:
Practice Address - Street 1:370 RIGHTERS MILL RD
Practice Address - Street 2:
Practice Address - City:GLADWYNE
Practice Address - State:PA
Practice Address - Zip Code:19035-1543
Practice Address - Country:US
Practice Address - Phone:610-658-2344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD010804E207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery