Individual
MRS. ALYSON HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(617) 582-8487
Mailing address
218 PONDEROSA DR, HANOVER, MA 02339-1176
(781) 710-1930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5081
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA5081
MA STATE LICENSURE
MA
Enumeration date
09/12/2014
Last updated
03/06/2018
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