Provider Demographics
NPI:1699005942
Name:HAWKINS, MARGUERITE ANCMON (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:MARGUERITE
Middle Name:ANCMON
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:MISS
Other - First Name:MARGUERITE
Other - Middle Name:
Other - Last Name:ANCMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1810 RITTENHOUSE SQ APT 810
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-5813
Mailing Address - Country:US
Mailing Address - Phone:215-435-5913
Mailing Address - Fax:
Practice Address - Street 1:1810 RITTENHOUSE SQ APT 810
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-5813
Practice Address - Country:US
Practice Address - Phone:215-435-5913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-09
Last Update Date:2010-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4221492083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine