Individual
DR. MARGUERITE A HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-8515
(508) 334-6490
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
74715
MA
207RN0300X
Nephrology Physician
Primary
74715
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110050427A
—
MA
05
—
3083560
—
MA
Enumeration date
12/01/2005
Last updated
11/18/2020
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