Individual
MICHAEL G HAMROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 CENTRE ST, WEST ROXBURY, MA 02132-3316
(617) 327-0700
(617) 327-6558
Mailing address
BMCHS PROVIDER ENROLLMENT, 960 MASSACHUSETTS AVE FLR 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
153780
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3183840
—
MA
Enumeration date
10/03/2005
Last updated
03/11/2025
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