Provider Demographics
NPI:1487820619
Name:HAMMER, JENNIFER MARA (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MARA
Last Name:HAMMER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:15005 SHADY GROVE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6340
Mailing Address - Country:US
Mailing Address - Phone:301-279-9696
Mailing Address - Fax:301-251-5454
Practice Address - Street 1:15005 SHADY GROVE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6340
Practice Address - Country:US
Practice Address - Phone:301-279-9696
Practice Address - Fax:301-251-5454
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2014-06-09
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Provider Licenses
StateLicense IDTaxonomies
MDD76137207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC155272OtherMEDICARE PTAN