Basic Information
| Provider Information | |||||||||
| NPI: | 1548580137 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAMWI | ||||||||
| FirstName: | HAYTHAM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 191 | ||||||||
| Address2: | |||||||||
| City: | ROCKLAND | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197320191 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026516212 | ||||||||
| FaxNumber: | 3026514945 | ||||||||
| Practice Location | |||||||||
| Address1: | 700 MULLICA HILL ROAD | ||||||||
| Address2: | |||||||||
| City: | NATIONAL PARK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08063 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8565081000 | ||||||||
| FaxNumber: | 3026514945 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2010 | ||||||||
| LastUpdateDate: | 03/09/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/09/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | D0070714 | MD | N | Allopathic & Osteopathic Physicians | Pediatrics | 208M00000X | C10010435 | DE | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | ME138103 | FL | N | Allopathic & Osteopathic Physicians | Hospitalist | 208000000X | 25MA10570600 | NJ | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 101845900 | 05 | FL | MEDICAID |