Provider Demographics
NPI:1124212204
Name:HAMMER, JANET S (PA-C)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:S
Last Name:HAMMER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:SHULDINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:110 FRANCIS STREET
Mailing Address - Street 2:DIVISION OF INFECTIOUS DISEASE, SUITE GB
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-632-7706
Mailing Address - Fax:617-632-7626
Practice Address - Street 1:110 FRANCIS STREET
Practice Address - Street 2:DIVISION OF INFECTIOUS DISEASE, SUITE GB
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-632-7706
Practice Address - Fax:617-632-7626
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA294363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAP0979Medicare PIN