Provider Demographics
NPI:1093862658
Name:HAMMER, MARK E (PA-C)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:E
Last Name:HAMMER
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:148 COLONIAL VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-2245
Mailing Address - Country:US
Mailing Address - Phone:412-798-9086
Mailing Address - Fax:412-798-3379
Practice Address - Street 1:324 RODI RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3318
Practice Address - Country:US
Practice Address - Phone:412-731-7500
Practice Address - Fax:412-731-4794
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMA002228-L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical