# HAWTHORN MEDICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104190560
- **Authorized official:** JAMES GULAREK (CEO)
- **Authorized official phone:** (508) 996-3991

## Contact information

- **Practice address:** 535 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
- **Practice address phone:** (508) 996-3991
- **Mailing address:** 535 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2012
- **Last updated:** 03/02/2012