Provider Demographics
NPI:1942482286
Name:HAWLEY, JAMES E JR (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:HAWLEY
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 346
Mailing Address - Street 2:
Mailing Address - City:WEST BARNSTABLE
Mailing Address - State:MA
Mailing Address - Zip Code:02668-0346
Mailing Address - Country:US
Mailing Address - Phone:508-778-4317
Mailing Address - Fax:508-778-4376
Practice Address - Street 1:540 MAIN ST STE 12
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-5100
Practice Address - Country:US
Practice Address - Phone:508-778-4317
Practice Address - Fax:508-778-4376
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11657174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY67817OtherBLUE CROSS OF MA
MAHA Y69484Medicare PIN