Provider Demographics
NPI:1215139126
Name:HAMEL, MARY JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:JEAN
Last Name:HAMEL
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:KEMRICDC RESEARCH STATION
Mailing Address - Street 2:UNIT 64112
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09831
Mailing Address - Country:US
Mailing Address - Phone:25472-277-2616
Mailing Address - Fax:
Practice Address - Street 1:KEMRI CDC RESEARCH STATION
Practice Address - Street 2:UNIT 64112
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09831
Practice Address - Country:US
Practice Address - Phone:25472-277-2616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA041573207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease