Provider Demographics
NPI:1316148091
Name:HAMILTON, ROBERT WAYMAN
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:WAYMAN
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 MIDDLESEX RD
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15135-3327
Mailing Address - Country:US
Mailing Address - Phone:412-751-2339
Mailing Address - Fax:
Practice Address - Street 1:408 MIDDLESEX RD
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15135-3327
Practice Address - Country:US
Practice Address - Phone:412-751-2339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD25089L208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice