Provider Demographics
NPI:1396834883
Name:HAMBURGER, HARRY ALAN (MD MS)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:ALAN
Last Name:HAMBURGER
Suffix:
Gender:M
Credentials:MD MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3280 OLD BOYNTON RD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-6506
Mailing Address - Country:US
Mailing Address - Phone:561-733-3010
Mailing Address - Fax:561-733-0039
Practice Address - Street 1:3280 OLD BOYNTON RD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-6506
Practice Address - Country:US
Practice Address - Phone:561-733-3010
Practice Address - Fax:561-733-0039
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0041250207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL058392800Medicaid
FL96457Medicare ID - Type UnspecifiedPROVIDER ID