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HAWTHORN ENDOSCOPY SERVICE LLC NPI 1073572327


NPI Information

NPI: 1073572327
Provider Name: HAWTHORN ENDOSCOPY SERVICE, LLC

Doing Business As: HAWTHORN AMBULATORY SERVICES

Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
535 FAUNCE CORNER ROAD
NORTH DARTMOUTH, MA
ZIP 02747
Phone: (508) 996-3991
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HAWTHORN ENDOSCOPY SERVICE, LLC is an endoscopy clinic center in North Dartmouth, MA. HAWTHORN ENDOSCOPY SERVICE, LLC NPI is 1073572327. The provider is registered as an organization entity type.
The provider Is Doing Business As Hawthorn Ambulatory Services.

The provider's business location address is:

535 FAUNCE CORNER ROAD
NORTH DARTMOUTH, MA
ZIP 02747-717
Phone: (508) 996-3991

The provider's authorized official is James Gularek .
The authorized official title is Ceo and has the following contact phone number (508) 996-3991.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 7/13/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QE0800XClinic/CenterEndoscopyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1806282OTHERMASSACHUSETTSTUFTS HEALTH PLAN
2M88022OTHERMASSACHUSETTSBLUE CROSS
3221034MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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