Provider Demographics
NPI:1336465715
Name:BROOKS, DAWN J (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:J
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 SEYMOUR STREET
Mailing Address - Street 2:HARTFORD HOSPITAL CANCER CENTER
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06102-8000
Mailing Address - Country:US
Mailing Address - Phone:860-972-4183
Mailing Address - Fax:
Practice Address - Street 1:80 FISHER DRIVE
Practice Address - Street 2:HARTFORD HOSPITAL CANCER CENTER
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3798
Practice Address - Country:US
Practice Address - Phone:860-674-0088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-11
Last Update Date:2021-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT069703207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology