Individual
GLENN D HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 DELAWARE PARK BLVD, WILMINGTON, DE 19804-4122
(302) 994-3166
(775) 923-9397
Mailing address
7 QUIGLEY LN, GARNET VALLEY, PA 19061-1234
(610) 358-9965
(775) 923-9397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD042891E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-24638
EVERCARE
—
05
—
01873711
—
PA
01
—
0701881000
KEYSTONE
—
01
—
2045582
BCBS PA
—
Enumeration date
08/24/2006
Last updated
01/26/2009
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