Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | T0539 | ME |
N | 207Q00000X | Family Doctor | 1954 | ME |
NPI | 1326088980 |
---|---|
Provider Name | Dr. Robert S Hawkins |
First Address | Orono, ME 04473-3416 |
Second Address | Orono, ME 04473-3416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 30/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C66394 | (02) | ME |