Provider Demographics
NPI:1861483752
Name:HAMANN, CLAUS (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUS
Middle Name:
Last Name:HAMANN
Suffix:
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 1:797 WILSON ST
Mailing Address - Street 2:BEACON HEALTH
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1000
Mailing Address - Country:US
Mailing Address - Phone:207-973-5692
Mailing Address - Fax:
Practice Address - Street 1:1400 COMPUTER DR STE 301
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1790
Practice Address - Country:US
Practice Address - Phone:617-420-5316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA75389207R00000X, 207RG0300X
MEMD20639207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3106594Medicaid
MA075389OtherTUFTS HEALTH PLAN
MAJ13619OtherBCBS MA
MA3106594Medicaid
MAJ13619OtherBCBS MA