Individual
ROBERT E HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4066
(315) 785-8509
(315) 785-8619
Mailing address
445 FACTORY ST, PO BOX 91, WATERTOWN, NY 13601-2729
(315) 782-4207
(315) 782-8699
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
199612
NY
Other
Enumeration date
07/24/2006
Last updated
04/30/2008
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