Mary R Hawthorne M.D.

NPI 1013990787 - Internal Medicine - 207R00000X

NPI Details
NPI 1013990787
Gender Female
Enumeration Date 11/27/2005
Last Updated 04/28/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
291 LINCOLN ST
SUITE 203
WORCESTER MA, 01605-3643, US
Phone (508) 791-8524
Fax
Business Location
PO BOX 415348
BOSTON MA, 02241-5348, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 51975
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According to our database, Dr. Mary R Hawthorne M.D. NPI is 1013990787, taxonomy code is 207R00000X and license number is 51975, license state is located at Massachusetts. Mary R Hawthorne M.D. physically located at 291 Lincoln St, Worcester MA, 01605-3643. NPI Number Mary R Hawthorne M.D. has the Individual type.

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1013990787 NPI number is provided on an as is basis without warranty of any kind. 1013990787 is maintained by the National Plan & Provider Enumeration System. The contents of Mary R Hawthorne M.D. are for informational purposes only.