Individual
DR. AVI HAMEROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 S 2ND ST STE 4B, HARRISBURG, PA 17101-2546
(717) 231-8472
(717) 231-8490
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD460270
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032962050001
—
PA
01
—
575484
MEDICARE
PA
Enumeration date
11/21/2014
Last updated
01/09/2021
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