Provider Demographics
NPI:1811307507
Name:HAMMER, DAVID AARON (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:AARON
Last Name:HAMMER
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 1:5401 OLD YORK RD STE 404
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3046
Mailing Address - Country:US
Mailing Address - Phone:154-567-1902
Mailing Address - Fax:215-456-7308
Practice Address - Street 1:5401 OLD YORK RD STE 404
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3046
Practice Address - Country:US
Practice Address - Phone:215-456-7190
Practice Address - Fax:215-456-7308
Is Sole Proprietor?:No
Enumeration Date:2014-05-02
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2626532084N0400X
PAM0218005390200000X
390200000X
PAMD4699352084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program