Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | ME80588 | FL |
NPI | 1245348291 |
---|---|
Provider Name | Dr. Andrew Hawrych |
First Address | Naples, FL 34107-0931 |
Second Address | Naples, FL 34108-1877 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H21726 | (02) |