Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD040834 | DC |
N | 208200000X | Surgeon | 0101239900 | VA |
N | 208600000X | Surgeon | 0101239900 | VA |
NPI | 1376745471 |
---|---|
Provider Name | Jason Solomon Hawksworth |
First Address | Bethesda, MD 20817-2564 |
Second Address | Washington, DC 20007-2113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 01/04/2013 |