| Doctor Name: | ANDREA M HAMBURG |
| NPI Number: | 1659639821 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP-BC |
| License Number: | SP12021 |
| Business Practice Address: | 4829 E Street Rd Trevose, PA - 190536647 |
| Business Phone Number: | 2153645800 |
| Business Fax Number: | |
| Mailing Address: | 4829 E Street Rd, TREVOSE |
| State: | PA |
| Postal Code: | 190536647 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2012 |
| NPI Last Update Date: | 11/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | SP12021 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |