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Individual

ROBERT E HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
887 CONGRESS ST, SUITE 400, PORTLAND, ME 04102-3100
(207) 774-6368
(207) 774-9388
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD11491
ME
208600000X
Surgery Physician
NH-8161
NH
2086S0129X
Vascular Surgery Physician
011491
ME
2086S0129X
Vascular Surgery Physician
MD11491
ME
2086S0129X
Vascular Surgery Physician
NH-8161
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020010743
RR MEDICARE
ME
05
298470099
ME
05
30005163
NH
Enumeration date
10/10/2005
Last updated
09/18/2013
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