Provider Demographics
NPI:1093926032
Name:HAWKSWORTH, DOROTA JOANNA (MD)
Entity Type:Individual
Prefix:DR
First Name:DOROTA
Middle Name:JOANNA
Last Name:HAWKSWORTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8201 GRUBB RD
Mailing Address - Street 2:#202
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2534
Mailing Address - Country:US
Mailing Address - Phone:802-598-1284
Mailing Address - Fax:
Practice Address - Street 1:WALTER REED ARMY MEDICAL CENTER UROLOGY
Practice Address - Street 2:6900 GEORGIA AVE, BLDG 2, 4TH FL
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-6406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101239956208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology