Provider Demographics
NPI:1952334864
Name:HAMILTON, DEBORAH J (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 UNION ST
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE FALLS
Mailing Address - State:ME
Mailing Address - Zip Code:04254-1229
Mailing Address - Country:US
Mailing Address - Phone:207-897-7070
Mailing Address - Fax:207-897-7030
Practice Address - Street 1:38 UNION ST
Practice Address - Street 2:
Practice Address - City:LIVERMORE FALLS
Practice Address - State:ME
Practice Address - Zip Code:04254-1229
Practice Address - Country:US
Practice Address - Phone:207-897-7070
Practice Address - Fax:207-897-7030
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME015745207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME273220099Medicaid
ME273220099Medicaid
MEMM9169Medicare ID - Type Unspecified