Provider Demographics
NPI:1497188429
Name:HAWKES, COLIN PATRICK (MD, MBA)
Entity Type:Individual
Prefix:
First Name:COLIN
Middle Name:PATRICK
Last Name:HAWKES
Suffix:
Gender:M
Credentials:MD, MBA
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Other - Credentials:
Mailing Address - Street 1:3401 CIVIC CENTER BOULEVARD
Mailing Address - Street 2:CHOP - DIVISION OF PEDIATRIC ENDOCRINOLOGY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4399
Mailing Address - Country:US
Mailing Address - Phone:215-590-3174
Mailing Address - Fax:215-590-3053
Practice Address - Street 1:3401 CIVIC CENTER BOULEVARD
Practice Address - Street 2:CHOP - DIVISION OF PEDIATRIC ENDOCRINOLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4399
Practice Address - Country:US
Practice Address - Phone:215-590-3174
Practice Address - Fax:215-590-3053
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
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Provider Licenses
StateLicense IDTaxonomies
PAMT2048012080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology