Organization
HAWTHORN MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GULAREK (CEO)
(508) 996-3991
Entity
Organization
Contact information
Practice address
237A STATE RD, ATTN. CREDENTIALING DEPT., N DARTMOUTH, MA 02747-2612
(508) 996-3991
Mailing address
PO BOX 3076, ATTN. CREDENTIALING DEPT., BOSTON, MA 02241-0001
(508) 996-3991
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
02/09/2009
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