Individual
TRACY BANSIDHAR HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
25 FIRST PARK DR, SUITE A, OAKLAND, ME 04963-5361
(207) 873-4325
(207) 873-4344
Mailing address
28 BARNET AVE, WATERVILLE, ME 04901-5102
(207) 873-5044
(207) 873-4344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1665
ME
207R00000X
Internal Medicine Physician
20A 7525
CA
Other
Enumeration date
05/16/2006
Last updated
07/09/2007
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