Individual
MICHAEL T HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
23 MORRIS AVE STE 219, BRYN MAWR, PA 19010-3335
(215) 662-4000
Mailing address
1337 POTTSTOWN PIKE, WEST CHESTER, PA 19380-1235
(484) 883-6827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN604865
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN604865
STATE BOARD OF NURSING
PA
Enumeration date
09/12/2019
Last updated
09/12/2019
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