Basic Information
Provider Information
NPI: 1902017072
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMMOUD
FirstName: SOMMER
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 833 CHESTNUT ST
Address2: SUITE 1402
City: PHILADELPHIA
State: PA
PostalCode: 191074414
CountryCode: US
TelephoneNumber: 8003219999
FaxNumber: 2673393761
Practice Location
Address1: 925 CHESTNUT ST, FL 5
Address2: ROTHMAN INSTITUTE
City: PHILADELPHIA
State: PA
PostalCode: 191074216
CountryCode: US
TelephoneNumber: 2673393500
FaxNumber: 2155030580
Other Information
ProviderEnumerationDate: 05/24/2007
LastUpdateDate: 11/10/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XX0005X25MA09107300NJN Allopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
207X00000XAN1829677NYN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X246373MAN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X246271NYN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XX0005XMD446317PAY Allopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine

No ID Information.


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