Individual
DR. PAUL G HAMMERNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
202576
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
202576
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110032456A
—
MA
Enumeration date
11/21/2005
Last updated
12/18/2023
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