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
535 FAUNCE CORNER RD, NORTH DARTMOUTH, MA 02747-1242
(508) 996-3991
Mailing address
PO BOX 3076, BOSTON, MA 02241-3076
(508) 996-3991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
667827
TUFTS HEALTH PLAN GROUP
MA
05
—
9786104
—
MA
01
—
M17180
BLUE CROSS GROUP NUMBER
MA
Enumeration date
03/23/2006
Last updated
09/11/2025
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