Provider Demographics
NPI:1255567400
Name:HAMAD, CHRISTINA ANN (DPM)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ANN
Last Name:HAMAD
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-1901
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:572-524-5119
Practice Address - Street 1:2330 SAINT MARY ST W
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-8805
Practice Address - Country:US
Practice Address - Phone:570-522-8637
Practice Address - Fax:572-524-5119
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006341213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery