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Individual

VIRGINA HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4 TOWER RD, LINCOLN, MA 01773-3210
(781) 257-5151
Mailing address
4 TOWER RD, LINCOLN, MA 01773-3210
(781) 257-5151

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
015302
ME
208000000X
Pediatrics Physician
157109
MA
2080P0207X
Pediatric Hematology & Oncology Physician
015302
ME
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
157109
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
319920099
ME
Enumeration date
10/02/2006
Last updated
02/10/2009
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