Basic Information
Provider Information
NPI: 1467589853
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMMELL
FirstName: EUGENE
MiddleName: JOHN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 242 E MCMURRAY RD
Address2:  
City: MCMURRAY
State: PA
PostalCode: 153172963
CountryCode: US
TelephoneNumber: 7249423202
FaxNumber: 7249424377
Practice Location
Address1: 242 E MCMURRAY RD
Address2:  
City: MCMURRAY
State: PA
PostalCode: 153172963
CountryCode: US
TelephoneNumber: 7249423202
FaxNumber: 7249424377
Other Information
ProviderEnumerationDate: 02/27/2007
LastUpdateDate: 10/12/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/12/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMD031675EPAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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