Individual
JEFFREY HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
385 MAIN ST SOUTH, UNION SQUARE, SOUTHBURY, CT 06488
(203) 264-7999
(203) 264-7477
Mailing address
385 MAIN ST SOUTH, UNION SQUARE BLDG #1 C/O NVRA IMAGING NETWORK, SOUTHBURY, CT 06488
(203) 264-7999
(203) 264-7477
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
039769
CT
2085R0204X
Vascular & Interventional Radiology Physician
039769
CT
2085U0001X
Diagnostic Ultrasound Physician
039769
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001397696
—
CT
Enumeration date
07/10/2006
Last updated
06/17/2021
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