Organization
HAWTHORN MEDICAL ASSOCIATES SLEEP CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GULAREK (CEO)
(508) 996-3991
Entity
Organization
Contact information
Practice address
535 FAUNCE CORNER RD, N DARTMOUTH, MA 02747-1242
(508) 996-3991
Mailing address
535 FAUNCE CORNER RD, N DARTMOUTH, MA 02747-1242
(508) 996-3991
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SF053069
BCBS OF MA
MA
Enumeration date
11/07/2007
Last updated
02/27/2012
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