Individual
MRS. COLLEEN WAGNER HAMMERSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 110, ALLENTOWN, PA 18103
(610) 402-8900
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05326
NC
363A00000X
Physician Assistant
Primary
MA057209
PA
Other
Enumeration date
10/21/2014
Last updated
08/13/2020
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