Provider Demographics
NPI:1952764433
Name:HAMMER, ALYSSA RAE BURGAMY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:RAE BURGAMY
Last Name:HAMMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALYSSA
Other - Middle Name:RAE
Other - Last Name:BURGAMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1447 YORK RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6074
Mailing Address - Country:US
Mailing Address - Phone:410-339-5500
Mailing Address - Fax:
Practice Address - Street 1:1447 YORK RD STE 100
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-6074
Practice Address - Country:US
Practice Address - Phone:410-339-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-01
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1952764433207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program