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Individual

TIMOTHY C HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1577 CONGRESS ST, 1ST FLOOR, PORTLAND, ME 04102-2169
(207) 662-1442
(207) 775-2467
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD13073
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
268330099
ME
Enumeration date
06/28/2006
Last updated
02/22/2012
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