Individual
GARRY A. HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 E BROWN ST STE 108, POCONO KIDS PEDIATRICS, EAST STROUDSBURG, PA 18301-3098
(570) 476-3585
(570) 421-9014
Mailing address
206 E BROWN ST, POCONO HEALTHCARE MANAGEMENT - PROFESSIONAL BLDG., E STROUDSBURG, PA 18301-3006
(570) 420-4951
(570) 476-3754
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD423683
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009373070001
—
PA
Enumeration date
03/23/2006
Last updated
06/15/2011
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