MRS. Tracy Hawthorne, PA
NPI #1528046646 in Willimantic, Connecticut
Provider Information
- NPI Number
- 1528046646
- Entity Type
- Individual
- Name
- MRS. Tracy Hawthorne, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jan 9, 2006
- Last Updated
- Aug 12, 2009
Practice Location
- Address
- 112 MANSFIELD AVE
- City
- Willimantic
- State
- Connecticut
- ZIP Code
- 06226-2045
- Phone
- (860) 456-9116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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